Individual provider Active NPI

Ghassan Saleem Jawad

  • Trauma Surgery Physician
  • Plano, TX
National Provider Identifier
1942720396
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
V1499 Issued in TX
Practice address
4001 W 15TH St Ste 340
Plano, TX 75093-5841
Phone
(505) 289-6155
Fax
(505) 289-6155
NPI assigned
Jun 26, 2017
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X V1499 TX
Trauma Surgery Physician 2086S0127X V1499 TX Primary

Addresses

Primary practice location

4001 W 15TH St Ste 340
Plano, TX 75093-5841

Mailing address

4001 W 15TH St Ste 340
Plano, TX 75093-5841
Phone (505) 289-6155

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
I20240909001666 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7012288053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians
Texas Trauma Medical Group, PLLCGroup PAC ID 2769862044, 52 clinicians

Practice addresses (Care Compare)

3322 Colorado Blvd
Suite 101
Denton, TX 76210-6889
Phone (940) 387-7588

3535 S I 35 E
Denton, TX 76210-6850
Phone (940) 384-3535

4001 W 15St St
SE 340
Plano, TX 75093-5841
Phone (972) 202-7080

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Trauma Medical Group, PLLC Trauma Surgery CurrentSince Oct 14, 2024 Accepting new patients
Surgery Associates of NTX, PLLC CurrentSince Oct 14, 2024 Accepting new patients
Surgery Associates of North Texas P a Current Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

515 W Mayfield Rd
Ste 301
Arlington, TX 76014
Phone (682) 274-8350

100 E Alton Gloor Blvd
Ste 210
Brownsville, TX 78526
Phone (956) 350-7105

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

3537 S Interstate 35 E
Ste 318
Denton, TX 76210
Phone (214) 334-1125

3537 S Interstate 35 E
Ste 200
Denton, TX 76210
Phone (940) 384-4595

101 Rim Rd
Ste 300B
El Paso, TX 79902
Phone (915) 263-7080

4510 Medical Center Dr
Ste 301
McKinney, TX 75069
Phone (469) 608-4980

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

4001 W 15th St
#340
Plano, TX 75093
Phone (972) 202-7080

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4001 W 15th St
Ste 340
Plano, TX 75093
Phone (972) 202-7080

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • Direct secure messaging: ghassan.jawad@hca7.eclinicaldirectplus.com

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.

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1942720396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 340",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "505-289-6155",
            "fax_number": "505-289-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 340",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "505-289-6155",
            "fax_number": "505-289-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWAD",
        "first_name": "GHASSAN",
        "middle_name": "SALEEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "V1499",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "V1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.