Individual provider Active NPI

Eyad Kamal Ahmed, MD

  • Interventional Cardiology Physician
  • Dallas, TX
National Provider Identifier
1538711536
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
W4740 Issued in TX
Practice address
1 Medical Pkwy Ste 103
Dallas, TX 75234-7830
Phone
(972) 488-9656
Fax
(833) 311-0887
NPI assigned
Jul 10, 2019
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA11863000 NJ
Interventional Cardiology Physician 207RI0011X W4740 TX Primary

Addresses

Primary practice location

1 Medical Pkwy Ste 103
Dallas, TX 75234-7830

Mailing address

PO Box 661247
Dallas, TX 75266-1247
Phone (214) 320-7770

Other practice location 1

1106 N Galloway Ave
Mesquite, TX 75149-2436
Phone (972) 226-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11863000NJMDInternal Medicine Physician
W4740TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group Internal Medicine PastSince Nov 24, 2024 Accepting new patients
Dallas Medical Physician Group Internal Medicine Past Accepting new patients

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, 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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538711536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661247",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752661247",
            "telephone_number": "214-320-7770",
            "fax_number": "214-320-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PKWY STE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347830",
            "telephone_number": "972-488-9656",
            "fax_number": "833-311-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 N Galloway Ave",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492436",
            "country_code": "US",
            "telephone_number": "972-226-0505",
            "fax_number": "833-994-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "EYAD",
        "middle_name": "KAMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11863000",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "W4740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.