Organization Active NPI

Sharif Surgical PLLC

  • Surgical Oncology Physician
  • Fort Worth, TX
National Provider Identifier
1891927448
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
SHARIF SURGICAL PLLC
Practice address
909 9TH Ave
Suite 402
Fort Worth, TX 76104-3903
Phone
(817) 332-0786
Fax
(817) 332-0787
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Suhail C Sharif, MDNPI 1083753677
Title
Physician
Phone
(817) 332-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

909 9TH Ave
Suite 402
Fort Worth, TX 76104-3903

Mailing address

909 9TH Ave
Suite 402
Fort Worth, TX 76104-3903
Phone (817) 332-0786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091005000508 TX Part B Supplier - Clinic/Group Practice 0941346910 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Worth, TX
O20240611004630 TX DME Supplier - Physician - Surgical Oncology 0941346910 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

909 9th Ave
Ste 401
Ft Worth, TX 76104
Phone (817) 332-0786

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1891927448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 402",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-332-0786",
            "fax_number": "817-332-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 402",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-332-0786",
            "fax_number": "817-332-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARIF SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "SUHAIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-332-0786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.