Individual provider Active NPI

Iram Hamdard, MD

  • Internal Medicine Physician
  • Colleyville, TX
National Provider Identifier
1730164252
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9698 Issued in TX
Practice address
7151 Colleyville Blvd
Suite 103
Colleyville, TX 76034-8030
Phone
(817) 416-1931
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9698 TX Primary

Addresses

Primary practice location

7151 Colleyville Blvd
Suite 103
Colleyville, TX 76034-8030

Mailing address

PO Box 2959
Grapevine, TX 76099-2959

Other identifiers 1

IdentifierTypeStateIssuer
8W7861OtherTXBLUE CROSS BLUE SHIELD

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
I20070215000729 TX Practitioner - Internal Medicine 5890797187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFW Prompt Care PAGroup PAC ID 8527060805, 2 clinicians

Practice addresses (Care Compare)

7151 Colleyville Blvd
Suite 103
Colleyville, TX 76034-8030
Phone (817) 416-1931

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Prompt Care PA Internal Medicine CurrentSince Aug 17, 2006 Accepting new patients
Vickery Health Center Past Accepting new patients
Dallas County Hospital District Past Accepting new patients

Locations

7151 Colleyville Blvd
Ste 103
Colleyville, TX 76034
Phone (214) 740-2402

Interoperability endpoints

  • Direct secure messaging: iram.hamdard@dpcp.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1730164252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2959",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760992959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 COLLEYVILLE BLVD",
            "address_2": "SUITE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348030",
            "telephone_number": "817-416-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDARD",
        "first_name": "IRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8W7861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.