Active NPI
Ziyad Shaklah, NP
- Acute Care Nurse Practitioner
- Dallas, TX
National Provider Identifier
1619249653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 758037
- Practice address
- 12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202 - Phone
- (469) 662-7437
- NPI assigned
- Feb 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 758037 | TX | Primary |
Addresses
Primary practice location
12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202
Mailing address
12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308460002 | Medicaid | TX |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthnow PLLC | Current | Accepting new patients | |
| Questcare Matrix, PLLC | Current | Accepting new patients | |
| Questcare Matrix, PLLC | Current | Accepting new patients | |
| Questcare Matrix, PLLC | Current | Accepting new patients | |
| Citywide I D Associates, Inc | Past | Accepting new patients |
Locations
550 E Ann Arbor Ave
Dallas, TX 75216
Phone (214) 376-1701
8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Glenn Heights, TX
- NPI 1548700644
-
- Emergency Medicine Physician
- Grapevine, TX
- NPI 1316295066
-
- Internal Medicine Physician
- Houston, TX
- NPI 1629524665
-
- Emergency Medicine Physician
- McKinney, TX
- NPI 1740605492
-
- Specialist
- Addison, TX
- NPI 1982906244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1619249653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 MERIT DR",
"address_2": "SUITE 1500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 MERIT DR",
"address_2": "SUITE 1500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512202",
"telephone_number": "469-662-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKLAH",
"first_name": "ZIYAD",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "758037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308460002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.