Individual provider Active NPI

Hani Ahmed, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1962661033
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q1342 Issued in TX
Practice address
5120 Legacy Dr
Plano, TX 75024-3399
Phone
(469) 344-2009
NPI assigned
Jun 4, 2008
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.204376 LA
Family Medicine Physician 207Q00000X 125050441 IL
Family Medicine Physician 207Q00000X Q1342 TX Primary

Addresses

Primary practice location

5120 Legacy Dr
Plano, TX 75024-3399

Mailing address

5120 Legacy Dr
Plano, TX 75024-3399
Phone (469) 344-2009

Other practice location 1

5009 Kingston Ct
Parker, TX 75002-2839
Phone (847) 877-9107

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
I20190517001707 TX Practitioner - Family Practice 2163581836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Housecall, LLCGroup PAC ID 8527500198, 6 clinicians

Practice addresses (Care Compare)

5050 Quorum Dr
Suite 700
Dallas, TX 75254-1410
Phone (214) 402-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125050441ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Dallas Vein Care LLC Family Medicine CurrentSince Jan 5, 2025 Accepting new patients
Eating Recovery Center of Texas Family Medicine CurrentSince Jul 25, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Central Texas Nutrition Consultants Past Accepting new patients

Locations

2727 Main St
Ste 650
Frisco, TX 75036
Phone (945) 216-1621

5120 Legacy Dr
Plano, TX 75024
Phone (469) 344-2010

Interoperability endpoints

  • Direct secure messaging: hani.ahmed.1@18152.direct.athenahealth.com

Organizations & group practices 5

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1962661033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 LEGACY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243399",
            "telephone_number": "469-344-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 LEGACY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243399",
            "telephone_number": "469-344-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5009 Kingston Ct",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "TX",
            "postal_code": "750022839",
            "country_code": "US",
            "telephone_number": "847-877-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "HANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.204376",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125050441",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.