Individual provider Active NPI

Ziyad Shaklah, NP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1619249653
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
758037 Issued in TX
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

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
308460002MedicaidTX

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnow PLLC CurrentSince Feb 23, 2017 Accepting new patients
Questcare Matrix, PLLC CurrentSince Jan 13, 2014 Accepting new patients
Questcare Matrix, PLLC CurrentSince Jan 13, 2014 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.

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

Verify at the official NPI Registry.