Individual provider Active NPI

Imran Solaiman, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1659638898
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q6909 Issued in TX
Practice address
5531 S Hulen St
Fort Worth, TX 76132-2202
Phone
(817) 294-5600
Fax
(817) 263-7234
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29108 OK
Internal Medicine Physician 207R00000X Q6909 TX Primary

Addresses

Primary practice location

5531 S Hulen St
Fort Worth, TX 76132-2202

Mailing address

5531 S Hulen St
Fort Worth, TX 76132-2202
Phone (817) 294-5600

Other identifiers 1

IdentifierTypeStateIssuer
355701901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160321001557 TX Practitioner - Internal Medicine 6305166190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

  • Klarus Home Care Home health agency, Fort Worth, TX, CCN 679784
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29108OKMDInternal Medicine Physician
Q6909TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Mar 28, 2016 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Mar 28, 2016 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

5531 S Hulen St
Fort Worth, TX 76132
Phone (817) 346-5960

6100 Harris Pkwy
Ste 345
Ft Worth, TX 76132
Phone (817) 346-5960

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: imran.solaiman@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1659638898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322202",
            "telephone_number": "817-294-5600",
            "fax_number": "817-263-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322202",
            "telephone_number": "817-294-5600",
            "fax_number": "817-263-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLAIMAN",
        "first_name": "IMRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "29108",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q6909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355701901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.