Individual provider Active NPI

Mazen Iskandar, MD

  • Surgery Physician
  • Waxahachie, TX
National Provider Identifier
1861783938
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R9083 Issued in TX
Practice address
2460 N I 35 Ste 215
Waxahachie, TX 75165-5271
Phone
(469) 800-9830
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 277205 NY
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X R9083 TX Primary

Addresses

Primary practice location

2460 N I 35 Ste 215
Waxahachie, TX 75165-5271

Mailing address

2460 N I 35 Ste 215
Waxahachie, TX 75165-5271
Phone (469) 800-9830

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.bswhealth.com/locations/texas-surgical-specialists-waxahachie Other
Direct Messaging Address miskandar499798@direct.sw.org

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
I20190722001868 TX Practitioner - General Surgery 2567775471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2460 N Ih 35E
215 Baylor Scott and White
Waxahachie, TX 75165-5271
Phone (469) 800-9830

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)40
Upper gastrointestinal (GI) endoscopy for acid reflux18
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9083TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Surgery Current Accepting new patients
Healthtexas Provider Network CurrentSince Jul 8, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 8, 2019 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

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

2460 N Interstate Highway 35 E
Ste 215
Waxahachie, TX 75165
Phone (469) 800-9830

Interoperability endpoints

  • Direct secure messaging: miskandar499798@direct.sw.org

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 and National Provider Directory roles.

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1861783938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 N I 35 STE 215",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655271",
            "telephone_number": "469-800-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N I 35 STE 215",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655271",
            "telephone_number": "469-800-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "277205",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R9083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bswhealth.com/locations/texas-surgical-specialists-waxahachie",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "2460 N I 35 Ste 215",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751655271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miskandar499798@direct.sw.org",
            "affiliation": "N",
            "address_1": "2460 N I 35 Ste 215",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751655271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.