NPIMap

Individual provider Active NPI

Mohamed Omar Bojang, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1467617589
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127828 Issued in TX
Practice address
5959 Harry Hines Blvd
Dallas, TX 75390-1400
Phone
(214) 645-5300
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127828 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd
Dallas, TX 75390-1400

Mailing address

9529 Oxbow LN
Oak Point, TX 75068-1299
Phone (615) 202-6395

Other identifiers 1

IdentifierTypeStateIssuer
35064300MedicaidWI

Other names 1

  • Mr. Momodou Omar Bojang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615001586 TX Practitioner - Nurse Practitioner 1456642891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1400 N Westmoreland Rd
Parkland Health
Dallas, TX 75211-1656
Phone (214) 266-0500

1515 Heritage Dr
McKinney, TX 75069-3256
Phone (972) 562-9647

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Nov 1, 2018 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 12, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Dallas County Hospital District CurrentSince Nov 1, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 12, 2016 Accepting new patients

Locations

8224 Park Ln
Ste 130
Dallas, TX 75231
Phone (214) 266-0266

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

5959 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 630-5191

1400 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 266-0500

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: mbojang17526@direct.phhs.org

Organizations & group practices 7

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 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1467617589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9529 OXBOW LN",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750681299",
            "telephone_number": "615-202-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753901400",
            "telephone_number": "214-645-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJANG",
        "first_name": "MOHAMED",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35064300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOMODOU",
            "last_name": "BOJANG",
            "middle_name": "OMAR",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.