Individual provider Active NPI

Asim Ahmed Kichloo, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1649669136
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U7887 Issued in TX
Practice address
855 Montgomery St
Fort Worth, TX 76107-2553
Phone
(817) 735-2200
Fax
(817) 735-5441
NPI assigned
Jan 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U7887 TX Primary
Internal Medicine Physician 207R00000X 4301110962 MI
Internal Medicine Physician 207R00000X 48656 KY

Addresses

Primary practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Mailing address

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI, NY, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20151026000771 KY Practitioner - HospitalistPractitioner - Internal Medicine 7113236555 Reassigns benefits to 1 organization
I20170220002657 MI Practitioner - Internal Medicine 7113236555 Reassigns benefits to 4 organizations
I20190619001504 NY Practitioner - HospitalistPractitioner - Internal Medicine 7113236555 Reassigns benefits to 1 organization
I20240123004478 TX Practitioner - Internal Medicine 7113236555 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians
Hospitalist Medicine Physicians of Texas - Burnet PLLCGroup PAC ID 1850831637, 76 clinicians

Practice addresses (Care Compare)

1275 W Terrell Ave
Suite 200
Fort Worth, TX 76104-3764
Phone (817) 250-7035

1400 8TH Ave
Fort Worth, TX 76104-4110

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 839-1644

500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460

5016 S US Hwy 75
Texoma Medical Center
Denison, TX 75020-4584
Phone (903) 416-4000

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
72.79
Improvement activities
40
Cost
71.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110962MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. CurrentSince Oct 5, 2015 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
Saginaw Cooperative Hospital Inc Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2024 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Dec 1, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 5, 2015 Accepting new patients
Saginaw Cooperative Hospitals, Inc Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Dec 1, 2025 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Mymichigan Medical Group Current Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Mymichigan Medical Group Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Dec 1, 2025 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas - Burnet PLLC Internal Medicine CurrentSince Nov 4, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 8, 2025 Accepting new patients
University of North Texas Health Science Center at Fort Worth Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Sep 8, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Oct 10, 2017 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Oct 10, 2017 Accepting new patients
University of North Texas Health Science Center at Fort Worth CurrentSince Jan 1, 2024 Accepting new patients
University of North Texas Health Science Center at Fort Worth Internal Medicine Past Accepting new patients
Texas Health Physicians Group Internal Medicine Past Accepting new patients
Mymichigan Medical Center Sault Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

515 Main St
Olean, NY 14760
Phone (716) 373-2600

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

1275 W Terrell Ave
Ste 200
Fort Worth, TX 76104
Phone (817) 250-7035

855 Montgomery St
Fl 4
Fort Worth, TX 76107
Phone (817) 735-2400

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: akichloo2541466@direct.texashealth.org

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 4

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": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1649669136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2200",
            "fax_number": "817-735-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2200",
            "fax_number": "817-735-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICHLOO",
        "first_name": "ASIM",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U7887",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301110962",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "48656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.