Individual provider Active NPI

Ahmad E Qawasmi, MD

  • Pediatrics Physician
  • Prosper, TX
National Provider Identifier
1881944718
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R5306 Issued in TX
Practice address
1120 S Coit Rd Ste 20
Prosper, TX 75078-2928
Phone
(945) 204-7900
Fax
(945) 204-7901
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301101717 MI
Pediatrics Physician 208000000X 14536 ND
Hospitalist Physician 208M00000X R5306 TX
Pediatrics Physician 208000000X R5306 TX Primary

Addresses

Primary practice location

1120 S Coit Rd Ste 20
Prosper, TX 75078-2928

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Other names 1

  • Dr. Ahmad E Kawasmi Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aqawasmi191472@CookChildrens.direct-ci.com

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
I20200428000927 TX Practitioner - Pediatric MedicinePractitioner - Hospitalist 1759658974 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101717MIMDPediatrics Physician
R5306TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Pediatrics CurrentSince Apr 23, 2020 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Oct 10, 2022 Accepting new patients
Scott & White Clinic Pediatrics CurrentSince Apr 23, 2020 Accepting new patients
Scott & White Clinic Pediatrics Current Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Oct 10, 2022 Accepting new patients
Aegis Pediatrics, PLLC Pediatrics Current Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2530 Scripture St
Denton, TX 76201
Phone (940) 243-0104

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

1120 S Coit Rd
#20
Prosper, TX 75078
Phone (469) 715-3899

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: aqawasmi191472@cookchildrens.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1881944718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S COIT RD STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782928",
            "telephone_number": "945-204-7900",
            "fax_number": "945-204-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAWASMI",
        "first_name": "AHMAD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301101717",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "14536",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R5306",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aqawasmi191472@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1120 S Coit Rd Ste 20",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750782928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AHMAD",
            "last_name": "KAWASMI",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.