DR. BASSEM MORAD MOSTAFA ELSAWY MD CMD AGSF FAAFP NPI 1629016159

NPI Information

NPI: 1629016159
Provider Name: DR. BASSEM MORAD MOSTAFA ELSAWY, MD, CMD, AGSF, FAAFP
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS

PECOS Registration: Yes

Address:
3500 W WHEATLAND RD
DALLAS, TX
ZIP 75237
Phone: (214) 947-5400
Get Directions

DR. Bassem Morad Mostafa Elsawy, MD, CMD, AGSF, FAAFP is a family medicine in Dallas, TX with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Bassem Morad Mostafa Elsawy, MD, CMD, AGSF, FAAFP NPI is 1629016159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3500 W WHEATLAND RD
DALLAS, TX
ZIP 75237-460
Phone: (214) 947-5400
Fax: (214) 947-5425

The NPI 1629016159 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	M4379	TEXAS	No
2	207QH0002X	Family Medicine	Hospice and Palliative Medicine	M4379	TEXAS	No
3	207Q00000X	Family Medicine		M4379	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	75-2966610	OTHER	TEXAS	FEIN
2	182868301	MEDICAID	TEXAS
3	156122702	MEDICAID	TEXAS
4	200453380	MEDICAID	INDIANA
5	156122701	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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