Active NPI
Magda Fawzy, MD
- Pediatrics Physician
- Southlake, TX
National Provider Identifier
1396855946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K1431
- Practice address
- 2727 E Southlake Blvd
Southlake, TX 76092-6613 - Phone
- (682) 885-6000
- Fax
- (682) 885-6026
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K1431 | TX | Primary |
Addresses
Primary practice location
2727 E Southlake Blvd
Southlake, TX 76092-6613
Mailing address
PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-4446
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050NC | Other | TX | BCBSTX GRP PIN |
| 1640359 | Other | TX | CCN PIN |
| 4043747 | Other | TX | AETNA PIN |
| 1912978891 | Other | GRP NPI NUMBER | |
| 12686008 | Medicaid | TX | |
| 170994101 | Medicaid | TX | |
| 100297967 | Other | TX | AMERIGROUP PIN |
| 112554100 | Other | TX | FIRSTCARE PIN |
| 1640359 | Other | TX | FIRSTHEALTH PIN |
| 080626701 | Medicaid | TX | |
| 126586006 | Medicaid | TX | |
| 163314101 | Medicaid | TX | |
| 2793448 | Other | TX | CIGNA PIN |
| 413453 | Other | TX | PHCS PIN |
| 126586007 | Medicaid | TX | |
| 88B2075 | Other | TX | BCBSTX IND PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1396855946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99213",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990213",
"telephone_number": "682-885-4446",
"fax_number": "817-810-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 E SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926613",
"telephone_number": "682-885-6000",
"fax_number": "682-885-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWZY",
"first_name": "MAGDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K1431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX GRP PIN",
"identifier": "0050NC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN PIN",
"identifier": "1640359",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "4043747",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP NPI NUMBER",
"identifier": "1912978891",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12686008",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170994101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PIN",
"identifier": "100297967",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE PIN",
"identifier": "112554100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHEALTH PIN",
"identifier": "1640359",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080626701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126586006",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163314101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2793448",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PIN",
"identifier": "413453",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126586007",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX IND PIN",
"identifier": "88B2075",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.