Individual provider Active NPI

Abdul Hafeez, MD

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1801830716
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K4074 Issued in TX
Practice address
2221 8TH Ave
Fort Worth, TX 76110-1812
Phone
(817) 336-5060
Fax
(817) 336-1744
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K4074 TX Primary

Addresses

Primary practice location

2221 8TH Ave
Fort Worth, TX 76110-1812

Mailing address

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Other identifiers 6

IdentifierTypeStateIssuer
10012348OtherAMERIGROUP
1635995OtherLAUNISYS MEDICAID
7128320OtherAETNA
P00001932OtherRAILROAD MEDICARE
8654B6OtherTXBCBS OF TEXAS
160757401MedicaidTX

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
I20120419000089 TX Practitioner - Nephrology 5496937989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis AssociatesGroup PAC ID 1557308319, 25 clinicians

Practice addresses (Care Compare)

11797 S Fwy
Suite 226
Burleson, TX 76028-7035
Phone (817) 336-5060

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

3412 N Tarrant Pkwy
Suite 520
Fort Worth, TX 76177-8643
Phone (817) 336-5060

4900 Boat Club Rd
Fort Worth, TX 76135-1802
Phone (817) 336-5060

6551 Harris Pkwy
Suite 210
Fort Worth, TX 76132-6116
Phone (817) 336-5060

919 Travis Ave
Fort Worth, TX 76104-3137
Phone (817) 810-0700

Hospital & facility affiliations

  • Northeast Ft Worth Dialysis CT Dialysis facility, Haltom City, TX, CCN 452752
  • FKC Keller Dialysis facility, Fort Worth, TX, CCN 742548
  • FKC Saginaw Dialysis facility, Saginaw, TX, CCN 742735
  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Texas Rehabilitation Hospital Inpatient rehabilitation facility, Fort Worth, TX, CCN 673048
  • Texas Rehabilitation Hospital of Keller Inpatient rehabilitation facility, Keller, TX, CCN 673077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Associates Nephrology CurrentSince Jul 1, 2002 Accepting new patients

Locations

3412 N Tarrant Pkwy
Ste 520
Fort Worth, TX 76177
Phone (940) 626-1848

919 Travis Ave
Fort Worth, TX 76104
Phone (817) 810-0700

2221 8th Ave
Fort Worth, TX 76110

4900 Boat Club Rd
Fort Worth, TX 76135
Phone (682) 224-9061

950 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 912-9600

Interoperability endpoints

  • Direct secure messaging: ahafeez28977@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1801830716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K4074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10012348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISYS MEDICAID",
            "identifier": "1635995",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7128320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00001932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8654B6",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160757401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.