Active NPI
Asma Shameem Mohammed, P.A
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 05789
- Practice address
- 1617 Hemphill St
Fort Worth, TX 76104-4709 - Phone
- (817) 702-2485
- NPI assigned
- Jul 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 05789 | TX | Primary |
Addresses
Primary practice location
1617 Hemphill St
Fort Worth, TX 76104-4709
Mailing address
1617 Hemphill St
Fort Worth, TX 76104-4709
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amohammed300471@direct.sw.org |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440
2725 Wind River LN
Denton, TX 76210-2999
Phone (972) 434-8000
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 05789 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1650 W College St
Ste 150
Grapevine, TX 76051
Phone (817) 338-3440
Interoperability endpoints
- asma.mohammed.1@16562.direct.athenahealth.com
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.
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- NPI 1760488936
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- Hospitalist Physician
- Denton, TX
- NPI 1710866561
-
- Emergency Medicine Physician
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- NPI 1285922542
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265441620
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1609031814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044709",
"telephone_number": "817-702-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED",
"first_name": "ASMA",
"middle_name": "SHAMEEM",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA 05789",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amohammed300471@direct.sw.org",
"affiliation": "N",
"address_1": "1650 W College St Ste 150",
"city": "Grapevine",
"state": "TX",
"country_code": "US",
"postal_code": "760513565",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.