Organization Active NPI

Bamd Anesthesia PLLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1619487360
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BAMD ANESTHESIA PLLC
Practice address
3453 Saint Francis Ave Ste 125
Dallas, TX 75228-6098
Phone
(214) 983-1787
Fax
(214) 292-9415
NPI assigned
Oct 9, 2017
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Basem Abdelfattah, MDNPI 1467688853
Title
Owner
Phone
(214) 983-1787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3453 Saint Francis Ave Ste 125
Dallas, TX 75228-6098

Mailing address

PO Box 494439
Garland, TX 75049-4439
Phone (214) 310-3816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180712000952 TX Part B Supplier - Clinic/Group Practice 9830445410 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1619487360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494439",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750494439",
            "telephone_number": "214-310-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 SAINT FRANCIS AVE STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752286098",
            "telephone_number": "214-983-1787",
            "fax_number": "214-292-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMD ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "ABDELFATTAH",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-983-1787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.