Individual provider Active NPI

Bibi Tasleyma Sattar, DO

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1477728079
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1880 Issued in TX
Practice address
7633 Bellaire Dr S Ste 121
Fort Worth, TX 76132-4311
Phone
(817) 346-3366
Fax
(817) 346-3710
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X N1880 TX
Family Medicine Physician 207Q00000X OS10117 FL
Family Medicine Physician 207Q00000X N1880 TX Primary

Addresses

Primary practice location

7633 Bellaire Dr S Ste 121
Fort Worth, TX 76132-4311

Mailing address

7633 Bellaire Dr S Ste 121
Fort Worth, TX 76132-4311
Phone (817) 346-3366

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
I20090212000137 TX Practitioner - Family PracticePractitioner - General Practice 6204991979 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10117FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Nov 16, 2023 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Nov 16, 2023 Accepting new patients

Locations

5531 S Hulen St
Fort Worth, TX 76132
Phone (817) 346-5960

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1477728079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S STE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-346-3366",
            "fax_number": "817-346-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S STE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-346-3366",
            "fax_number": "817-346-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTAR",
        "first_name": "BIBI",
        "middle_name": "TASLEYMA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "N1880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10117",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.