Active NPI
Sirajunnisa Syeda, P.A.
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09320
- Practice address
- 1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104 - Phone
- (817) 250-4906
- NPI assigned
- Jan 15, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09320 | TX | Primary |
Addresses
Primary practice location
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104
Mailing address
6130 W Parker Rd Ste 306
Plano, TX 75093-7934
Phone (972) 981-7135
Other practice location 1
6130 W Parker Rd Ste 306
Plano, TX 75093
Phone (972) 981-7135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA20098 | Other | CA | STATE BOARD OF CALIFORNIA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11424 Richmond Ave
Houston, TX 77082-2519
Phone (281) 759-7900
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 820-4906
1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777
8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999
Hospital & facility affiliations
- Methodist Charlton Medical Center
- Texas Health Harris Methodist Fort Worth
- Lake Granbury Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09320 | TX | MD | Physician Assistant |
Interoperability endpoints
- ssyeda1363105@direct.texashealth.org
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.
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Round Rock, TX
- NPI 1134606353
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1679710404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 W PARKER RD STE 306",
"city": "PLANO",
"state": "TX",
"postal_code": "750937934",
"telephone_number": "972-981-7135",
"fax_number": "972-981-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE STE K230",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043104",
"telephone_number": "817-250-4906"
}
],
"practiceLocations": [
{
"address_1": "6130 W Parker Rd Ste 306",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "75093",
"country_code": "US",
"telephone_number": "972-981-7135",
"fax_number": "972-981-7136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYEDA",
"first_name": "SIRAJUNNISA",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF CALIFORNIA",
"identifier": "PA20098",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.