Individual provider Active NPI

Ahmad Scott, PA

  • Surgical Physician Assistant
  • Arlington, TX
National Provider Identifier
1417459900
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA12730 Issued in TX
Practice address
4401 Park Springs Blvd Ste 130
Arlington, TX 76017-1517
Phone
(817) 960-9120
Fax
(817) 466-7289
NPI assigned
Mar 1, 2018
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-006531 IL
Surgical Physician Assistant 363AS0400X PA12730 TX Primary

Addresses

Primary practice location

4401 Park Springs Blvd Ste 130
Arlington, TX 76017-1517

Mailing address

4401 Park Springs Blvd Ste 130
Arlington, TX 76017-1517
Phone (817) 960-9120

Other practice location 1

5930 Preston View Blvd
Dallas, TX 75240-4766
Phone (972) 503-7272

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418002379 TX Practitioner - Physician Assistant 8325302086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ri Sports Medicine PLLCGroup PAC ID 2567885189, 7 clinicians

Practice addresses (Care Compare)

13396 Preston Rd
Dallas, TX 75240-5208

5930 Preston View Blvd
Dallas, TX 75240-4766
Phone (972) 503-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-006531ILMDPhysician Assistant
PA12730TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Jan 7, 2021 Accepting new patients
Doctx3 PLLC CurrentSince Jan 7, 2021 Accepting new patients
Eberle-Reagan, Inc Past Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1417459900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171517",
            "telephone_number": "817-960-9120",
            "fax_number": "817-466-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171517",
            "telephone_number": "817-960-9120",
            "fax_number": "817-466-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5930 Preston View Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752404766",
            "country_code": "US",
            "telephone_number": "972-503-7272",
            "fax_number": "972-851-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "AHMAD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-006531",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA12730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.