Individual provider Active NPI

Hossein Bagshahi, M.D.

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1528117348
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P1846 Issued in TX
Practice address
800 5TH Ave Ste 404
Ben Hogan BLDG.
Fort Worth, TX 76104-7305
Phone
(817) 250-6210
Fax
(817) 250-6211
NPI assigned
Jan 10, 2007
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 233983 MA
Surgery Physician 208600000X P1846 TX Primary

Addresses

Primary practice location

800 5TH Ave Ste 404
Ben Hogan BLDG.
Fort Worth, TX 76104-7305

Mailing address

800 5TH Ave Ste 404
Ben Hogan BLDG.
Fort Worth, TX 76104-7305
Phone (817) 250-6210

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
I20120802000625 TX Practitioner - General SurgeryPractitioner - Other (Physician) 8022264209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HB Health PLLCGroup PAC ID 8820308281, 2 clinicians

Practice addresses (Care Compare)

1101 W Rosedale St
Suite 1
Fort Worth, TX 76104-4425
Phone (305) 772-4946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233983MAMDSurgery Physician
P1846TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HB Health PLLC Surgery CurrentSince Sep 15, 2015 Accepting new patients

Locations

1101 W Rosedale St
Ste 1
Fort Worth, TX 76104
Phone (305) 772-4946

1101 W Rosedale St
Ste A
Fort Worth, TX 76104
Phone (817) 885-7951

800 5th Ave
Ste 404
Fort Worth, TX 76104
Phone (817) 250-6210

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1528117348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 404",
            "address_2": "BEN HOGAN BLDG.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047305",
            "telephone_number": "817-250-6210",
            "fax_number": "817-250-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 404",
            "address_2": "BEN HOGAN BLDG.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047305",
            "telephone_number": "817-250-6210",
            "fax_number": "817-250-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGSHAHI",
        "first_name": "HOSSEIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "233983",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.