Active NPI
Fadi Alass, M.D.
- Pediatrics Physician
- Garland, TX
National Provider Identifier
1477985497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T9049
- Practice address
- 5580 N Shiloh Rd Ste 200a
Garland, TX 75044-6614 - Phone
- (469) 443-0004
- Fax
- (972) 854-7872
- NPI assigned
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 285071 | NY | |
| Pediatrics Physician | 208000000X | T9049 | TX | Primary |
Addresses
Primary practice location
5580 N Shiloh Rd Ste 200a
Garland, TX 75044-6614
Mailing address
5580 N Shiloh Rd Ste 200a
Garland, TX 75044-6614
Phone (469) 443-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04529333 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seashell Pediatrics PLLC | Pediatrics | Current | Accepting new patients |
| Chickasaw Nation Division of Health | Past | Accepting new patients | |
| Family Health Network of Central New York, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADECDD/Endpoint/ADECDD
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.
-
- Pediatrics Physician
- Garland, TX
- NPI 1376248401
-
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
- Federally Qualified Health Center (FQHC)
- Homer, NY
- NPI 1811342827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1477985497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 N SHILOH RD STE 200A",
"city": "GARLAND",
"state": "TX",
"postal_code": "750446614",
"telephone_number": "469-443-0004",
"fax_number": "972-854-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 N SHILOH RD STE 200A",
"city": "GARLAND",
"state": "TX",
"postal_code": "750446614",
"telephone_number": "469-443-0004",
"fax_number": "972-854-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALASS",
"first_name": "FADI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "285071",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T9049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04529333",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.