Individual provider Active NPI

Ammar Al-Sadoon

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1740661396
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8142 Issued in TX
Practice address
1631 11TH Street
Unit B
Wichita Falls, TX 76301-2245
Phone
(940) 263-3000
Fax
(940) 263-3018
NPI assigned
Jun 9, 2015
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10051978 TX
Family Medicine Physician 207Q00000X R8142 TX Primary

Addresses

Primary practice location

1631 11TH Street
Unit B
Wichita Falls, TX 76301-2245

Mailing address

1631 11TH Street
Unit B
Wichita Falls, TX 76301-2245
Phone (940) 263-3000

Other practice location 1

1301 3rd St
suite 200
Wichita Falls, TX 76301-2245
Phone (940) 767-5145

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
I20180807001453 TX Practitioner - Family PracticePractitioner - Emergency Medicine 5092063115 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lonestar Hospital Medicine Associates PAGroup PAC ID 6709049703, 126 clinicians

Practice addresses (Care Compare)

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10051978TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Jul 13, 2018 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2023 Accepting new patients
South Central Physicians PLLC CurrentSince Nov 18, 2021 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Dec 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 13, 2018 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Dec 1, 2019 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

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

1301 3rd St
Ste 200
Wichita Falls, TX 76301
Phone (940) 767-5145

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1631 11th St
Unit B
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • Direct secure messaging: aalsadoon13298@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1740661396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "address_2": "UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012245",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "address_2": "UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012245",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 3rd St",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763012245",
            "country_code": "US",
            "telephone_number": "940-767-5145",
            "fax_number": "940-767-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-SADOON",
        "first_name": "AMMAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10051978",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R8142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.