Active NPI
Laila Malani Mohammad, M.D.
- Neurological Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- T0112
- Practice address
- 1500 Cooper St
Fort Worth, TX 76104-2710 - Phone
- (682) 885-7840
- Fax
- (682) 885-7856
- NPI assigned
- Mar 25, 2013
- Last updated
- Oct 25, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 036.151694 | IL | |
| Neurological Surgery Physician | 207T00000X | T0112 | TX | Primary |
Addresses
Primary practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483
Other practice location 1
910 E Houston St Ste 330
Tyler, TX 75702-8368
Phone (903) 606-7995
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NE, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.151694 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Neurological Surgery | Current | Accepting new patients |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Medical City Transplant, PLLC | Current | Accepting new patients | |
| Cook Children's Physician Network | Current | Accepting new patients | |
| Dallas Pediatric Neurosurgery Specialists, PLLC | Neurological Surgery | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Cook Children's Physician Network | Current | Accepting new patients |
Locations
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
2771 Solution Ctr
Chicago, IL 60677
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7777 Forest Ln
Ste B445
Dallas, TX 75230
Phone (972) 566-6900
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500
4510 Medical Center Dr
Ste 301
McKinney, TX 75069
Phone (469) 608-4980
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Interoperability endpoints
- laila.mohammad@hca7.eclinicaldirectplus.com
- lmohammad477005@christushealth.direct-ci.net
Organizations & group practices 10
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Neurological Surgery
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Neurological Surgery Physician
- Dallas, TX
- NPI 1609261551
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Surgery Physician
- Dallas, TX
- NPI 1396107819
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1013409044
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1720320070",
"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": "1500 COOPER ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042710",
"telephone_number": "682-885-7840",
"fax_number": "682-885-7856"
}
],
"practiceLocations": [
{
"address_1": "910 E Houston St Ste 330",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-7995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMMAD",
"first_name": "LAILA",
"middle_name": "MALANI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2024-10-25",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036.151694",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "T0112",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.