Asad Ikram, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

290773 Issued in MA

Practice address

713 Grainger St
Fort Worth, TX 76104-3261

Phone

(817) 336-3968

Fax

(817) 336-7817

NPI assigned

Nov 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Neurology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tarrant Neurology Consultants, P.a.Group PAC ID 3072709369, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419
• Texas Health Harris Methodist Hospital Cleburne Hospital, Cleburne, TX, CCN 450148
• Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJJIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tarrant Neurology Consultants, P.a.

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1740509843
  Medicare reassignment Care Compare group NPD
• Vinit Mehrotra, MD, PA

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1861504136
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Health Harris Methodist Hospital Azle

  • General Acute Care Hospital
  • Azle, TX
  • NPI 1508899204
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Cleburne

  • General Acute Care Hospital
  • Cleburne, TX
  • NPI 1396778064
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Southwest Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1417980202
  Care Compare affiliation

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1992219216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GRAINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043261",
            "telephone_number": "817-336-3968",
            "fax_number": "817-336-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 GRAINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043261",
            "telephone_number": "817-336-3968",
            "fax_number": "817-336-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Brookline Avenue",
            "address_2": "Dept. of Vascular Neurology- Room # Palmer-127",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155491",
            "country_code": "US",
            "telephone_number": "617-632-8981",
            "fax_number": "505-272-6692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Msc 10-5620, 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-3342",
            "fax_number": "505-272-6692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKRAM",
        "first_name": "ASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2017-1004",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "290773",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "MD2022-0007",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "290773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Ikerd, PA-C
• Ikids Childrens Dentistry PLLC Randolph Wade Hamilton III Sole MBR
• Ikids Pediatric Care PLLC
• Ikids Pediatric Dentistry and Orthodontics NFW
• Ikids Pediatric Dentistry Fort Worth, P.C.
• Vishnu Ilineni, MD
• Enrique Illingworth, LMSW
• Sabrina Illingworth, CPNP-AC
• Illume Diagnostic Imaging LLC
• Chukwuagozie Obinna Iloma, DO,MHA/INF

• Neurology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.