Individual provider Active NPI

Mohamed Elfar, MD

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1457514226
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
V1764 Issued in TX
Practice address
7777 Forest LN Ste C528
Dallas, TX 75230-6848
Phone
(972) 331-1900
Fax
(972) 331-1909
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 003034 NY
Plastic Surgery Physician 208200000X 003034 NY
Surgical Critical Care Physician 2086S0102X 003034 NY
Trauma Surgery Physician 2086S0127X 003034 NY
Plastic and Reconstructive Surgery Physician 2086S0122X V1764 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C528
Dallas, TX 75230-6848

Mailing address

7777 Forest LN Ste C528
Dallas, TX 75230-6848
Phone (972) 331-1900

Other identifiers 1

IdentifierTypeStateIssuer
03158032MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, GA, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090623000438 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 6002967585 Reassigns benefits to 1 organization
I20180313001992 PA Practitioner - General Surgery 6002967585 Reassigns benefits to 1 organization
I20210503002062 GA Practitioner - Critical Care (Intensivists) 6002967585 Reassigns benefits to 3 organizations
I20240827000440 TX Practitioner - Plastic and Reconstructive Surgery 6002967585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Plastic Surgery, PLLCGroup PAC ID 0446622286, 5 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite C528
Dallas, TX 75230-6848
Phone (972) 331-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003034NYMDAcupuncturist
V1764TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Urgent Surgery Associates, P.a. Trauma Surgery CurrentSince Nov 1, 2025 Accepting new patients
Sage Plastic Surgery, PLLC Plastic and Reconstructive Surgery CurrentSince Aug 12, 2024 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Feb 5, 2018 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Feb 5, 2018 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Aug 1, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Pediatric Plastic Surgery, PLLC Plastic and Reconstructive Surgery Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 233
Chester, PA 19013
Phone (610) 499-0400

1350 Edgmont Ave
Ste 1500
Chester, PA 19013
Phone (610) 619-8290

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste C528
Dallas, TX 75230
Phone (972) 331-1900

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/PBxXyBpjIJSsFZVJZMPquS1RJJ3_fyh3/

Organizations & group practices 11

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 2

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1457514226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C528",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306848",
            "telephone_number": "972-331-1900",
            "fax_number": "972-331-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C528",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306848",
            "telephone_number": "972-331-1900",
            "fax_number": "972-331-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFAR",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "003034",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "003034",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "003034",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "003034",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "V1764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03158032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.