Individual provider Active NPI

Mariam Nasir, MD

  • Pediatrics Physician
  • Allen, TX
National Provider Identifier
1669000451
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U4283 Issued in TX
Practice address
1710 N Greenville Ave Ste 110
Allen, TX 75002-8861
Phone
(682) 303-2600
Fax
(682) 303-2601
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U4283 TX Primary

Addresses

Primary practice location

1710 N Greenville Ave Ste 110
Allen, TX 75002-8861

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Other practice location 1

2840 Legacy Dr Ste 400
Frisco, TX 75034-6055
Phone (469) 200-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnasir220567@CookChildrens.direct-ci.com

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
I20241130000122 TX Practitioner - Pediatric Medicine 9638604549 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4283TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Physician Network Pediatrics CurrentSince Jan 6, 2025 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Jan 6, 2025 Accepting new patients

Locations

1710 N Greenville Ave
Ste 110
Allen, TX 75002
Phone (682) 303-0260

7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: mnasir109846@direct.phhs.org
  • Direct secure messaging: mnasir220567@cookchildrens.direct-ci.com

Organizations & group practices 2

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1669000451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N GREENVILLE AVE STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028861",
            "telephone_number": "682-303-2600",
            "fax_number": "682-303-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2840 Legacy Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750346055",
            "country_code": "US",
            "telephone_number": "469-200-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASIR",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U4283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnasir220567@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1710 N Greenville Ave Ste 110",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750028861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.