Individual provider Active NPI

Mokhtar Maamar-Tayeb, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Euless, TX
National Provider Identifier
1669610051
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
N6467 Issued in TX
Practice address
251 Westpark Way, Suite 212
Euless, TX 76040-3707
Phone
(214) 570-2319
NPI assigned
Jan 23, 2009
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N6467 TX Primary

Addresses

Primary practice location

251 Westpark Way, Suite 212
Euless, TX 76040-3707

Mailing address

251 Westpark Way, Suite 212
Euless, TX 76040-3707
Phone (214) 570-2319

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
I20110517000570 TX Practitioner - Pathology 5092991539 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Apr 13, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 13, 2011 Accepting new patients
Quest Diagnostics Clinical Laboratories Inc Past Accepting new patients

Locations

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

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

251 Westpark Way
Ste 212
Euless, TX 76040
Phone (214) 570-2319

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1669610051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WESTPARK WAY, SUITE 212",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403707",
            "telephone_number": "214-570-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WESTPARK WAY, SUITE 212",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403707",
            "telephone_number": "214-570-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAMAR-TAYEB",
        "first_name": "MOKHTAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N6467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.