Individual provider Active NPI

Zubaer M. Dawlah, M.D.

  • Internal Medicine Physician
  • Texarkana, TX
National Provider Identifier
1679573299
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4025 Issued in TX
Practice address
1000 Pine St
Texarkana, TX 75501-5100
Phone
(903) 614-3000
Fax
(903) 614-3525
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 18726 WV
Internal Medicine Physician 207R00000X M4025 TX Primary

Addresses

Primary practice location

1000 Pine St
Texarkana, TX 75501-5100

Mailing address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000

Other practice location 1

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000

Other identifiers 3

IdentifierTypeStateIssuer
182979801MedicaidTX
200096270AMedicaidOK
8U3495OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070112000255 TX Practitioner - Internal Medicine 4486657939 Reassigns benefits to 2 organizations
I20220525000071 OK Practitioner - Internal Medicine 4486657939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

1000 Pine St
Texarkana, TX 75501-5100
Phone (903) 798-8000

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4025TXMDInternal Medicine Physician
18726WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Hospital Medicine Physicians Group, LLC Internal Medicine CurrentSince Feb 2, 2022 Accepting new patients
Sherman MD Provider Inc Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Sherman MD Provider Inc CurrentSince Aug 1, 2015 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Sep 30, 2024 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Highland MD Group Internal Medicine Past Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients
Quantum Emergency Physicians PA Internal Medicine Past Accepting new patients

Locations

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

1908 N Laurent St
Ste 410
Victoria, TX 77901

Interoperability endpoints

  • Direct secure messaging: zubaerdawlah@wnjrmc.allscriptsdirect.net
  • Direct secure messaging: zdawlah428093@christushealth.direct-ci.net
  • Direct secure messaging: zubaer.dawlah.p1@direct.collom-carney.nextgenshare.com

Organizations & group practices 8

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 3

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1679573299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 Cowhorn Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755039766",
            "country_code": "US",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWLAH",
        "first_name": "ZUBAER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18726",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182979801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200096270A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U3495",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.