NPIMap

Organization Active NPI

Arthritis and Rheumatology Specialists, PA

  • Rheumatology Physician
  • Decatur, TX
National Provider Identifier
1376951228
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
P4987 Issued in TX
Legal business name
ARTHRITIS AND RHEUMATOLOGY SPECIALISTS, PA
Practice address
2351 S FM 51
Suite 100
Decatur, TX 76234-3777
Phone
(940) 626-8073
Fax
(940) 626-8137
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. Arshad Mustafa, MDNPI 1740254499
Title
Owner/ President
Phone
(940) 626-8073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X P4987 TX Primary

Addresses

Primary practice location

2351 S FM 51
Suite 100
Decatur, TX 76234-3777

Mailing address

PO Box 2347
Decatur, TX 76234-6161
Phone (940) 626-8073

Other practice location 1

9525 N Beach St Ste 405
Fort Worth, TX 76244-6438
Phone (940) 626-8073

Other identifiers 3

IdentifierTypeStateIssuer
00E8E2OtherTXBCBSTX
342269301MedicaidTX
790531OtherTXMEDICARE - FORT WORTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141218000803 TX Part B Supplier - Clinic/Group Practice 2567785827 Receives reassigned benefits from 2 practitioners
Practice locations: Decatur, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

3424 N Tarrant Pkwy
Ste 420
Ft Worth, TX 76177
Phone (940) 626-8073

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1376951228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2347",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346161",
            "telephone_number": "940-626-8073",
            "fax_number": "940-626-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 S FM 51",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343777",
            "telephone_number": "940-626-8073",
            "fax_number": "940-626-8137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9525 N Beach St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762446438",
            "country_code": "US",
            "telephone_number": "940-626-8073",
            "fax_number": "940-626-8137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARTHRITIS AND RHEUMATOLOGY SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "ARSHAD",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "940-626-8073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "P4987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "00E8E2",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342269301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - FORT WORTH",
            "identifier": "790531",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.