Active NPI
Asim Ahmed Kichloo, M.D.
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U7887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Baylor Scott and White All Saints Medical Center
- Mymichigan Medical Center Clare
- Chippewa County War Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.4 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301110962 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc. | Current | 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 | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Internal Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Sault | Current | 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 | Current | Accepting new patients |
| Mymichigan Medical Group | Internal Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas - Burnet PLLC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| University of North Texas Health Science Center at Fort Worth | Current | 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
- 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.
-
- Hospitalist Physician
- Denison, TX
- NPI 1265275887
Internal Medicine
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sault Sainte Marie, MI
- NPI 1639190382
-
- Neuromusculoskeletal Medicine & OMM Physician
- Fort Worth, TX
- NPI 1376645564
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1346344991
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.