WISSAM NOUBANI P.A.-C
NPI 1285727941
Physician Assistant in Fort Worth, TX

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
4504 BOAT CLUB RD, SUITE 800, FORT WORTH, TX 76135(817) 237-0515(817) 237-8982 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wissam Noubani P.a.-c NPPES

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

WISSAM NOUBANI P.A.-C (NPI 1285727941) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA03902) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1285727941
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWISSAM NOUBANICredential: P.A.-C
Location Address4504 BOAT CLUB RD, SUITE 800Fort Worth, TX 76135-7003
Mailing Address4504 Boat Club Rd, Suite 800Fort Worth, TX 76135-7003 · (817) 237-4794 · Fax (817) 237-4880
Fax(817) 237-8982
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1285727941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA03902
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4504 BOAT CLUB RD, Fort Worth, TX 76135

Other Identifiers 2

Medicare ID-Type Unspecified8B7143TX
Medicare UPINS74081TX

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

Wissam Noubani P.a.-c 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 ID941283808
PECOS Enrollment IDI20040610001602
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76135 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4504 BOAT CLUB RD, SUITE 800
FORT WORTH, TX 76135
Family Medicine
4504 BOAT CLUB RD, SUITE 800
FORT WORTH, TX 76135
Family Medicine
4504 BOAT CLUB RD, SUITE 800
FORT WORTH, TX 76135
Family Medicine
4504 BOAT CLUB RD, SUITE 800
FORT WORTH, TX 76135
Pharmacy (Community/Retail Pharmacy)
4504 BOAT CLUB RD, #200
FORT WORTH, TX 76135

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 Wissam Noubani's NPI number?

The NPI number for Wissam Noubani is 1285727941. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Wissam Noubani located?

Wissam Noubani practices at 4504 Boat Club Rd Suite 800, Fort Worth, TX 76135. The listed phone number is (817) 237-0515.

What is Wissam Noubani's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Wissam Noubani enrolled in Medicare?

Yes. Wissam Noubani 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 Wissam Noubani accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Wissam Noubani 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 Wissam Noubani was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.