Active NPI
Mariam Nasir, MD
- Pediatrics Physician
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U4283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| U4283 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children'S Physician Network | Pediatrics | Current | 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
- mnasir109846@direct.phhs.org
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.