Medical Associates of Fort Worth PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL ASSOCIATES OF FORT WORTH PLLC

Practice address

412 Mercedes St Ste G
Benbrook, TX 76126-2558

Phone

(817) 782-9020

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Anwarullah Mohammed, MDNPI 1295021764

Title

Owner/Authorized Official

Phone

(817) 782-9020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Anwarullah Mohammed, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1295021764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1972007748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MERCEDES ST STE G",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262558",
            "telephone_number": "817-782-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MERCEDES ST STE G",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262558",
            "telephone_number": "817-782-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF FORT WORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ANWARULLAH",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-782-9020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert McGowen Jr., LPC
• Kelly McIntosh
• Jim V McKay, D.D.S.
• Preston McKee
• Rebekah McPherson, PH.D., CCC-SLP
• Medical Edge Healthcare Group PA
• Nolbia Medina
• Mend & Move Therapy, PLLC
• Sydney Miley
• Hailey Leah Miller, PT, DPT

• Family Medicine Physician in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.