Individual provider Active NPI

Mohamad-Ammar F Ayass, M.D.

  • Pulmonary Disease Physician
  • San Angelo, TX
National Provider Identifier
1821036559
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L2116 Issued in TX
Practice address
3021 Green Meadow Dr
San Angelo, TX 76904-6975
Phone
(325) 223-1800
Fax
(325) 223-1810
NPI assigned
Jun 3, 2006
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X L2116 TX Primary

Addresses

Primary practice location

3021 Green Meadow Dr
San Angelo, TX 76904-6975

Mailing address

8501 Wade Blvd Ste 750
Frisco, TX 75034-6437
Phone (972) 668-6005

Other identifiers 4

IdentifierTypeStateIssuer
145403503MedicaidTX
8P5490OtherTXBC/BS PIN
0027LWOtherTXBCBS GROUP #
168067001MedicaidTX

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
I20040811000989 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3971575747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3021 Green Meadow Dr
San Angelo, TX 76904-6975
Phone (325) 223-1800

8501 Wade Blvd
Suite 750
Frisco, TX 75034-6437

8501 Wade Blvd
Suite 900
Frisco, TX 75034-5894
Phone (972) 668-6005

8501 Wade Blvd BLDG
Suite 9
Frisco, TX 75034-5894

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ayass Lung Clinic, PLLC CurrentSince Aug 31, 2004 Accepting new patients
Ayass Lung Clinic, PLLC Pulmonary Disease CurrentSince Sep 1, 2004 Accepting new patients
Shannon Clinic Past Accepting new patients
Amerirad Inc Past Accepting new patients

Locations

8501 Wade Blvd
Ste 750
Frisco, TX 75034
Phone (972) 668-6005

223 S Abe St
San Angelo, TX 76903
Phone (325) 655-7969

3021 Green Meadow Dr
San Angelo, TX 76904
Phone (325) 223-1800

Organizations & group practices 4

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 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1821036559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WADE BLVD STE 750",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346437",
            "telephone_number": "972-668-6005",
            "fax_number": "972-635-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 GREEN MEADOW DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046975",
            "telephone_number": "325-223-1800",
            "fax_number": "325-223-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYASS",
        "first_name": "MOHAMAD-AMMAR",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L2116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145403503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "8P5490",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0027LW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168067001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.