DR. MARYAM FAZAL DMD
NPI 1063930972
Dentist - General Practice in Mesquite, TX
About Dr. Maryam Fazal Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARYAM FAZAL DMD (NPI 1063930972) is an individual general practice provider in Mesquite, Texas, licensed in Texas (32873) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Maryam Fazal Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESQUITE, TX 75150
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maryam Fazal's NPI number?
The NPI number for Maryam Fazal is 1063930972. It was assigned to this individual provider in the NPPES registry on August 31, 2017.
Where is Maryam Fazal located?
Maryam Fazal practices at 3220 Gus Thomasson Rd, Mesquite, TX 75150. The listed phone number is (817) 222-9900.
What is Maryam Fazal's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Maryam Fazal enrolled in Medicare?
Yes. Maryam Fazal is registered in the Medicare PECOS enrollment system.
What insurance does Maryam Fazal accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Maryam Fazal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Maryam Fazal was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Maryam Fazal, DMD · NPI 1063930972
General Practice provider in Mesquite, Texas. Individual provider, active in the CMS NPPES registry since August 31, 2017.
## Identity
- **NPI:** 1063930972 (Entity type: Individual)
- **Enumerated:** August 31, 2017
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 32873 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3220 GUS THOMASSON RD, Mesquite, TX 75150-4057
- **Phone:** (817) 222-9900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063930972) · Data from the CMS NPPES public registry.