Individual provider Active NPI

Samad Ahmed Jabbar, MD

  • Nephrology Physician
  • Paris, TX
National Provider Identifier
1841492618
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M8731 Issued in TX
Practice address
870 NE Loop 286
Paris, TX 75460-2134
Phone
(903) 784-4487
Fax
(903) 784-4497
NPI assigned
Jun 4, 2007
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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 M8731 TX Primary

Addresses

Primary practice location

870 NE Loop 286
Paris, TX 75460-2134

Mailing address

PO Box 1810
Paris, TX 75461-1810
Phone (903) 784-4487

Other identifiers 2

IdentifierTypeStateIssuer
BP1-0026050OtherINSTITUTIONAL PERMIT
196631903MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100427000321 TX Practitioner - NephrologyPractitioner - Internal Medicine 1355409681 Reassigns benefits to 4 organizations
I20231214002996 MO Practitioner - Nephrology 1355409681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
May accept Medicare assignment
Group practices
PRMC Healthcare Group, Inc.Group PAC ID 6406919901, 41 clinicians
Kidney Disease and Dialysis Associates, PAGroup PAC ID 2860656600, 4 clinicians
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 737-1111

870 NE Loop
Suite 286
Paris, TX 75460-2134
Phone (903) 784-4487

932 E 34TH St
Suite 1
Joplin, MO 64804-3932
Phone (417) 347-8570

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jul 6, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 6, 2020 Accepting new patients
Kidney Disease and Dialysis Associates, PA Nephrology CurrentSince May 27, 2012 Accepting new patients
PRMC Healthcare Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Dec 18, 2023 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
PRMC Healthcare Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

932 E 34th St
Ste 1
Joplin, MO 64804
Phone (417) 347-8570

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

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

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

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

506 Texas Highway 37 S
Mt Vernon, TX 75457
Phone (903) 537-8222

2850 Lewis Ln
Ste 106
Paris, TX 75460
Phone (903) 737-1271

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

520 N Collegiate Dr
Ste A
Paris, TX 75460
Phone (903) 784-1608

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

870 NE Loop 286
Paris, TX 75460
Phone (903) 784-4487

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • Direct secure messaging: samad@jabbar.ssdirect.aprima.com

Organizations & group practices 9

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 7

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1841492618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754611810",
            "telephone_number": "903-784-4487",
            "fax_number": "903-784-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602134",
            "telephone_number": "903-784-4487",
            "fax_number": "903-784-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBAR",
        "first_name": "SAMAD",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M8731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0026050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196631903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.