Individual provider Active NPI

Mohamad D Saad, D.O

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1396934113
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N2765 Issued in TX
Practice address
909 9TH Ave Ste 205
Fort Worth, TX 76104-3916
Phone
(817) 332-0786
Fax
(817) 332-0787
NPI assigned
Oct 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101015953 MI
Surgery Physician 208600000X N2765 TX Primary

Addresses

Primary practice location

909 9TH Ave Ste 205
Fort Worth, TX 76104-3916

Mailing address

909 9TH Ave
Ste 205
Fort Worth, TX 76104-3916
Phone (817) 332-0788

Other identifiers 1

IdentifierTypeStateIssuer
8AC339OtherTXBLUE CROSS BLUE SHIELD

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
I20090708000412 TX Practitioner - General SurgeryPractitioner - Other (Physician) 7416037643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

909 9TH Ave
Suite 401
Fort Worth, TX 76104-3918
Phone (817) 332-0788

Hospital & facility affiliations

  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Kindred Hospital-Tarrant County Long-term care hospital, Arlington, TX, CCN 452028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Advanced Surgical Group Surgery Current Accepting new patients
Sharif Surgical PLLC CurrentSince Jun 6, 2019 Accepting new patients

Locations

909 9th Ave
Ste 205
Fort Worth, TX 76104
Phone (817) 332-0786

909 9th Ave
Ste 208
Ft Worth, TX 76104
Phone (817) 332-0786

909 9th Ave
Ste 401
Ft Worth, TX 76104
Phone (817) 332-0786

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 5

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1396934113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "STE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043916",
            "telephone_number": "817-332-0788",
            "fax_number": "817-332-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE STE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043916",
            "telephone_number": "817-332-0786",
            "fax_number": "817-332-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "MOHAMAD",
        "middle_name": "D",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015953",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N2765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AC339",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.