Individual provider Active NPI

Ameem Alam

  • Gerontology Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1750246559
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1106488 Issued in TX
Practice address
7999 W Virginia Dr Ste a
Dallas, TX 75237-3845
Phone
(972) 274-5555
Fax
(972) 274-5663
NPI assigned
Dec 23, 2025
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1106488 TX Primary

Addresses

Primary practice location

7999 W Virginia Dr Ste a
Dallas, TX 75237-3845

Mailing address

7999 W Virginia Dr Ste a
Dallas, TX 75237-3845
Phone (972) 274-5555

Other practice location 1

1409 Regal Dr Apt 567
Richardson, TX 75080-6447
Phone (605) 201-8420

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130000573 TX Practitioner - Nurse Practitioner 2163900267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians
Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians

Practice addresses (Care Compare)

321 N Shiloh Rd
Garland, TX 75042-6610
Phone (972) 276-9571

7999 W Virginia Dr
Suite a
Dallas, TX 75237-3845
Phone (888) 616-6322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1106488TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation & Physical Medicine LLC CurrentSince Jan 9, 2026 Accepting new patients
Mana Health Partners TX PLLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

8383 Meadow Rd
Dallas, TX 75231
Phone (214) 239-6000

321 N Shiloh Rd
Garland, TX 75042
Phone (972) 276-9571

7633 Bellfort St
Houston, TX 77061
Phone (713) 644-2101

611 N MacArthur Blvd
Ste 110
Irving, TX 75061
Phone (972) 253-4904

619 N Britain Rd
Irving, TX 75061
Phone (972) 438-4161

819 W Arapaho Rd
Ste 24B
Richardson, TX 75080
Phone (469) 773-0710

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1750246559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7999 W VIRGINIA DR STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373845",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7999 W VIRGINIA DR STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373845",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Regal Dr Apt 567",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750806447",
            "country_code": "US",
            "telephone_number": "605-201-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAM",
        "first_name": "AMEEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1106488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.