Individual provider Active NPI

Urooj Shibli, MD

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1295901049
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N9957 Issued in TX
Practice address
802 US Highway 80 E
Mesquite, TX 75149-1555
Phone
(469) 827-7300
Fax
(469) 202-0120
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N9957 TX Primary

Addresses

Primary practice location

802 US Highway 80 E
Mesquite, TX 75149-1555

Mailing address

802 US Highway 80 E
Mesquite, TX 75149-1555
Phone (469) 827-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000518 TX Practitioner - Family Practice 4981720844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shibli Family Medicine and Obesity Clinic PLLCGroup PAC ID 7113318577, 3 clinicians

Practice addresses (Care Compare)

802 E Hwy 80
Mesquite, TX 75149-1555
Phone (469) 827-7300

Hospital & facility affiliations

  • Texas Home Health Group of Desoto, LLC Home health agency, Desoto, TX, CCN 679103
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
  • Mesquite Rehabilitation Institute Inpatient rehabilitation facility, Mesquite, TX, CCN 673045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group CurrentSince Apr 1, 2015 Accepting new patients
Dallas Medical Physician Group Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Shibli Family Medicine and Obesity Clinic PLLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

2704 N Galloway Ave
Ste 103
Mesquite, TX 75150
Phone (214) 660-2500

5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505

802 US Highway 80 E
Mesquite, TX 75149
Phone (469) 556-7186

Interoperability endpoints

  • Direct secure messaging: urooj.shibli@dmpg.eclinicaldirectplus.com
  • Direct secure messaging: urooj.shibli.1@25492.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1295901049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 US HIGHWAY 80 E",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491555",
            "telephone_number": "469-827-7300",
            "fax_number": "469-202-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 US HIGHWAY 80 E",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491555",
            "telephone_number": "469-827-7300",
            "fax_number": "469-202-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBLI",
        "first_name": "UROOJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.