Individual provider Active NPI

Amar Mahgoub, MD

  • Transplant Hepatology Physician
  • Dallas, TX
National Provider Identifier
1609076355
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
N3154 Issued in TX
Practice address
3410 Worth St Ste 950
Dallas, TX 75246-2064
Phone
(214) 820-8500
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N3154 TX
Transplant Hepatology Physician 207RT0003X N3154 TX Primary

Addresses

Primary practice location

3410 Worth St Ste 950
Dallas, TX 75246-2064

Mailing address

3410 Worth St Ste 860
Dallas, TX 75246-2064
Phone (214) 820-8500

Other identifiers 1

IdentifierTypeStateIssuer
1609076355MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amahgoub444445@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000316 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 3971635384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Iowa, RJ & L Carver College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3410 Worth St
Suite 860
Dallas, TX 75246-2064
Phone (214) 820-2302

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3154TXMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Gastroenterology Current Accepting new patients
Healthtexas Provider Network CurrentSince Feb 4, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 4, 2019 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3410 Worth St
Ste 950
Dallas, TX 75246
Phone (214) 820-2050

3410 Worth St
Ste 860
Dallas, TX 75246

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1609076355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 860",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462064",
            "telephone_number": "214-820-8500",
            "fax_number": "214-820-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462064",
            "telephone_number": "214-820-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHGOUB",
        "first_name": "AMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N3154",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "TX",
            "license": "N3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609076355",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amahgoub444445@direct.sw.org",
            "affiliation": "N",
            "address_1": "3410 Worth St Ste 950",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.