Individual provider Active NPI

Samina Fazal, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1992790620
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L3641 Issued in TX
Practice address
411 N Washington Ave Ste 6000
Dallas, TX 75246-1789
Phone
(214) 358-2300
Fax
(214) 579-6988
NPI assigned
Sep 19, 2005
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L3641 TX Primary

Addresses

Primary practice location

411 N Washington Ave Ste 6000
Dallas, TX 75246-1789

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other identifiers 1

IdentifierTypeStateIssuer
L3641OtherTXLICENSE

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
I20100902001157 TX Practitioner - Nephrology 0547384117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

1625 N Story Rd
Suite 140
Irving, TX 75061-1954
Phone (972) 871-8282

2613 Swiss Ave
Dallas, TX 75204-5859
Phone (214) 827-9854

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (469) 801-4500

411 N Washington Ave
Suite 6000
Dallas, TX 75246-1789
Phone (214) 358-2300

621 N Hall St
Dallas, TX 75226-1339
Phone (214) 820-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3641TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Dallas Nephrology Associates Current Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Nov 22, 2016 Accepting new patients

Locations

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1420 Viceroy Dr
Dallas, TX 75235

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

411 N Washington Ave
Ste 6000
Dallas, TX 75246
Phone (214) 821-5266

411 N Washington Ave
Ste 7000
Dallas, TX 75246
Phone (214) 823-7090

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: saminafazal@dneph.allscriptsdirect.net
  • Direct secure messaging: sfazal52375@direct.acumenmd.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 3

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1992790620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 6000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461789",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZAL",
        "first_name": "SAMINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L3641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L3641",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.