Nadia Alawi-Kakomanolis, M.D.
Individual provider Active NPI Internal Medicine Physician · Keller, TX
NPI 1285831503 · NPPES record last updated Jun 8, 2016
Key facts
- NPI
- 1285831503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- P2570 (TX)
- Practice address
- 720 S Main St
Keller, TX 76248-4936 - Phone
- (817) 431-2800
- Fax
- (817) 431-0371
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acclaim Physician Group Inc
Practice addresses (Care Compare)
1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701
1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701
1400 S Main St
Fort Worth, TX 76104-4913
3308 Deen Rd
Fort Worth, TX 76106-6524
Phone (817) 702-7000
4701 Bryant Irvin Rd N
Fort Worth, TX 76107-7627
Phone (817) 702-7400
Hospital & facility affiliations
- JPS Health Network
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170517001352 | TX | Practitioner - Internal Medicine | 9537252259 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244851 | NY | MD | Internal Medicine Physician |
| P2570 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Millennium Medical Services, PC | Current | Accepting new patients | |
| Primary Health Physicians, PLLC | Past |
Accepting new patients |
Locations
7400 18th Ave
Brooklyn, NY 11204
Phone (718) 236-9446
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
3308 Deen Rd
Ft Worth, TX 76106
Phone (817) 702-1819
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
Interoperability endpoints
- nalawikakomanolis59368@direct.jpshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 244851 | NY | |
| Internal Medicine Physician | 207R00000X | P2570 | TX | Yes |
Addresses
Primary practice location
720 S Main St
Keller, TX 76248-4936
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500
Other providers in Keller, TX
- Airy Choi DMD, PLLC
- Amy Akabue-Isom
- Christopher Lucas Alamilla
- Frank Alamilla
- Hernan Jose Alamilla
- Zainab Ali
- Alive and Well Recovery Center
- Alliance Counseling and Education Center
- Alliance Hand and Wrist Surgery
- Alliance Orthotics and Prosthetics, L.L.C.
All providers in Keller, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.