Active NPI
Samir Atieh, MD
- Family Medicine Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32233
- Practice address
- 1301 3Rd St
Wichita Falls, TX 76301-2245 - Phone
- (940) 767-5145
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32233 | KS | Primary |
Addresses
Primary practice location
1301 3Rd St
Wichita Falls, TX 76301-2245
Mailing address
5402 Texas Star LN
Wichita Falls, TX 76310-3348
Phone (817) 229-4382
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
1St FL Outpatient
Ft. Worth, TX 76104-4917
Phone (817) 702-3431
1575 S Main St
JPS Emergency
Fort Worth, TX 76104-4901
Phone (817) 702-8828
Hospital & facility affiliations
- JPS Health Network
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.56
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32233 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&J Grace Team LLC | Family Medicine | Current | Accepting new patients |
| Integrative Emergency Services Physician Group PA | Current | Accepting new patients |
Locations
921 FM 1187 E
Ste A
Crowley, TX 76036
Phone (817) 297-2000
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828
6251 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-5700
1661 Eastchase Pkwy
Ft Worth, TX 76120
Phone (682) 250-5700
Interoperability endpoints
- samir.atieh.p1@direct.lbucc.nextgenshare.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306048715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 TEXAS STAR LN",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763103348",
"telephone_number": "817-229-4382",
"fax_number": "940-696-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 3RD ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763012245",
"telephone_number": "940-767-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIEH",
"first_name": "SAMIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "32233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.