Individual provider Active NPI

Sarosh Ahmed, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1295994606
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P6563 Issued in TX
Practice address
8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Phone
(214) 200-3256
Fax
(214) 272-3282
NPI assigned
Jun 2, 2008
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036122643 IL
Internal Medicine Physician 207R00000X P6563 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469

Mailing address

8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Phone (214) 200-3256

Other practice location 1

4545 Fuller Dr Ste 325
Irving, TX 75038-6530
Phone (972) 870-5511

Other identifiers 2

IdentifierTypeStateIssuer
09015685OtherILBCBS OF IL
036122643MedicaidIL

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
I20140710002439 TX Practitioner - Internal Medicine 1052452620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medtopia Medical PLLCGroup PAC ID 0143568295, 3 clinicians

Practice addresses (Care Compare)

5446 Glen Lakes Dr
Dallas, TX 75231-4308
Phone (214) 200-3256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6563TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medtopia Medical, PLLC Internal Medicine CurrentSince Jun 11, 2019 Accepting new patients
Iah of Texas, PLLC CurrentSince Mar 21, 2015 Accepting new patients
Sarosh Ahmed M.D.P.a Current Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 21, 2015 Accepting new patients
Vpa of Texas PLLC Internal Medicine Current Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 21, 2015 Accepting new patients

Locations

5446 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 200-3256

8230 Walnut Hill Ln
Ste 414
Dallas, TX 75231
Phone (214) 200-3256

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Interoperability endpoints

  • Direct secure messaging: sarosh.ahmed@medcon.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1295994606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-200-3256",
            "fax_number": "214-272-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-200-3256",
            "fax_number": "214-272-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Fuller Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750386530",
            "country_code": "US",
            "telephone_number": "972-870-5511",
            "fax_number": "972-870-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SAROSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036122643",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P6563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "09015685",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122643",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.