SOHEILA HESAMI MD
NPI 1073530820
Internal Medicine in Fort Worth, TX

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
81.16/100
CMS Quality Rating
1220 W PRESIDIO ST, FORT WORTH, TX 76102(903) 957-0082(903) 957-0351 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Dec 8, 2025, Sep 5, 2024 and 3 more (6 updates tracked since 2022).

About Soheila Hesami Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOHEILA HESAMI MD (NPI 1073530820) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (N5105) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1073530820
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOHEILA HESAMICredential: MD
Location Address1220 W PRESIDIO STFort Worth, TX 76102-4512
Mailing Address425 N Highland Ave Ste 260Sherman, TX 75092-7377 · (903) 957-0082 · Fax (903) 957-0351
Fax(903) 957-0351
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 2, 20266 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1073530820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · N5105
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1220 W PRESIDIO ST, Fort Worth, TX 76102

Secondary Practice Locations 4

Location 15734 Spohn Dr Ste 110Corpus Christi, TX 78414-4116 · Phone (903) 957-0082 · Fax (903) 957-0351
Location 2711 Pennsylvania AveFort Worth, TX 76104-2222 · Phone (903) 957-0082 · Fax (903) 957-0351
Location 3425 N Highland Ave Ste 260Sherman, TX 75092-7377 · Phone (903) 957-0082 · Fax (903) 957-0351
Location 47589 Preston Rd Ste 900Frisco, TX 75034-5676 · Phone (903) 957-0082 · Fax (903) 957-0351

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 and accepts Medicare assignment

Soheila Hesami Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507862364
PECOS Enrollment IDI20120911000310
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.05
Promoting Interoperability49
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1220 W PRESIDIO ST
FORT WORTH, TX 76102
Counselor (Professional)
1220 W PRESIDIO ST
FORT WORTH, TX 76102
Social Worker (Clinical)
1220 W PRESIDIO ST
FORT WORTH, TX 76102
Family Medicine
1220 W PRESIDIO ST
FORT WORTH, TX 76102
Psychiatry & Neurology (Psychiatry)
1220 W PRESIDIO ST
FORT WORTH, TX 76102
Social Worker (Clinical)
1220 W PRESIDIO ST
FORT WORTH, TX 76102
Counselor (Professional)
1220 W PRESIDIO ST
FORT WORTH, TX 76102
Social Worker (Clinical)
1220 W PRESIDIO ST
FORT WORTH, TX 76102

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 Soheila Hesami's NPI number?

The NPI number for Soheila Hesami is 1073530820. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Soheila Hesami located?

Soheila Hesami practices at 1220 W Presidio St, Fort Worth, TX 76102. The listed phone number is (903) 957-0082.

What is Soheila Hesami's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Soheila Hesami enrolled in Medicare?

Yes. Soheila Hesami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Soheila Hesami accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Soheila Hesami 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 Soheila Hesami was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.