Individual provider Active NPI

Faisal Ansari, MD

  • Emergency Medicine Physician
  • Canton, TX
National Provider Identifier
1982132999
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S4910 Issued in TX
Practice address
18780 Interstate 20
Canton, TX 75103-3593
Phone
(903) 567-7748
NPI assigned
Jun 3, 2017
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S4910 TX Primary

Addresses

Primary practice location

18780 Interstate 20
Canton, TX 75103-3593

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-5815

Other practice location 2

1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 724-5437

Other identifiers 1

IdentifierTypeStateIssuer
1N4307OtherTXMEDICARE RAILROAD

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
I20200331001870 TX Practitioner - Emergency Medicine 9032481023 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

2800 State Hwy 24
Commerce, TX 75428-2017
Phone (903) 886-3161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304397NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Central Texas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Ies Carrollton PLLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Apr 1, 2021 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Mar 13, 2024 Accepting new patients

Locations (25 of 37)

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

2800 State Highway 24
Commerce, TX 75428
Phone (903) 866-3161

3500 Gaston Ave
Dallas, TX 75246

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-0950

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

738 E Quinlan Pkwy
Quinlan, TX 75474
Phone (903) 408-4800

Organizations & group practices 6

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 10

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": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1982132999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 INTERSTATE 20",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751033593",
            "telephone_number": "903-567-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-5815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 SW H K Dodgen Loop",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765021814",
            "country_code": "US",
            "telephone_number": "254-724-5437",
            "fax_number": "254-935-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "FAISAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-03",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S4910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1N4307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

Verify at the official NPI Registry.