Individual provider Active NPI

Ahmad Elzein

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1932706025
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1036057 Issued in TX
Practice address
3100 E Park Row Dr # A1
Arlington, TX 76010-5102
Phone
(325) 450-3835
NPI assigned
Oct 2, 2020
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1036057 TX Primary
Hospice Registered Nurse 163WH1000X 884748 TX

Addresses

Primary practice location

3100 E Park Row Dr # A1
Arlington, TX 76010-5102

Mailing address

3100 E Park Row Dr # A1
Arlington, TX 76010-5102
Phone (325) 450-3835

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812000155 TX Practitioner - Nurse Practitioner 9335543347 Reassigns benefits to 2 organizations
Practice locations: Arlington, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Medical ServicesGroup PAC ID 8325565997, 6 clinicians

Practice addresses (Care Compare)

1880 S Dairy Ashford Rd
Suite 401
Houston, TX 77077-4777
Phone (713) 581-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
884748TXMDHospice Registered Nurse
1036057TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FNP Mobile Care CurrentSince Jun 22, 2021 Accepting new patients
Access 360 Care Inc CurrentSince Sep 6, 2023 Accepting new patients

Locations

4381 W Green Oaks Blvd
#10
Arlington, TX 76016
Phone (682) 302-0306

4381 W Green Oaks Blvd
Ste 103
Arlington, TX 76016
Phone (682) 302-0306

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932706025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E PARK ROW DR # A1",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105102",
            "telephone_number": "325-450-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E PARK ROW DR # A1",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105102",
            "telephone_number": "325-450-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZEIN",
        "first_name": "AHMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1036057",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TX",
            "license": "884748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.