Shaam Mahasneh, MD

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

License

R6617 Issued in TX

Practice address

252 Matlock Rd Ste 348
Mansfield, TX 76063-4294

Phone

(682) 622-0004

Fax

(682) 334-7957

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

University of Texas Southwestern Medical School at Dallas, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mahasneh MD PLLC

  • Ophthalmology Physician
  • Mansfield, TX
  • NPI 1942854682
  Medicare reassignment NPD Authorized official
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment Care Compare group NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Pediatrics Physician
  • Southlake, TX
  • NPI 1275838732
  NPD
• Physician Associates of Southwest Dallas

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1801845425
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1689093882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 348",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634294",
            "telephone_number": "682-622-0004",
            "fax_number": "682-334-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 348",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634294",
            "telephone_number": "682-622-0004",
            "fax_number": "682-334-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHASNEH",
        "first_name": "SHAAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "R6617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maegan Shepherd
• Marcelline Mafor
• Fernando Magana Herrera, DO
• Faith Magness, LMSW
• Mahasneh MD PLLC
• Pamela M Makolo, PMHNP-BC
• Katelin Malcomb
• Mansfield Anesthesia Consultants PLLC
• Mansfield Chiropractic Center LLC
• Mansfield Counseling

• Cornea and External Diseases Specialist Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Cornea and External Diseases Specialist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.

Verify at the official NPI Registry.