SHABNAM QASIM MDPA
NPI 1396792602
Internal Medicine in Fort Worth, TX
About Shabnam Qasim Mdpa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHABNAM QASIM MDPA (NPI 1396792602) is a healthcare organization registered as an internal medicine in Fort Worth, Texas and active in the NPI registry since May 2006. The organization lists Roshan Jagthap, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shabnam Qasim Mdpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shabnam Qasim Mdpa, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shabnam Qasim Mdpa's NPI number?
The NPI number for Shabnam Qasim Mdpa is 1396792602. It was assigned to this organization in the NPPES registry on May 30, 2006.
Where is Shabnam Qasim Mdpa located?
Shabnam Qasim Mdpa is located at 4819 River Oaks Blvd, Fort Worth, TX 76114. The listed phone number is (817) 626-9744.
What is Shabnam Qasim Mdpa's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shabnam Qasim Mdpa enrolled in Medicare?
Yes. Shabnam Qasim Mdpa is registered in the Medicare PECOS enrollment system.
When is Shabnam Qasim Mdpa's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Shabnam Qasim Mdpa?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shabnam Qasim Mdpa. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shabnam Qasim Mdpa accept?
Health plans from Molina Healthcare list Shabnam Qasim Mdpa 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 Shabnam Qasim Mdpa 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 4 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.
# Shabnam Qasim Mdpa · NPI 1396792602
Internal Medicine organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1396792602 (Entity type: Organization)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Roshan Jagthap, CREDENTIALING MANAGER
## Practice location
- **Address:** 4819 RIVER OAKS BLVD, Fort Worth, TX 76114
- **Phone:** (817) 626-9744 · **Fax:** (817) 626-9962
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2026
- **Other identifiers:** Medicaid 1634057 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1396792602) · Data from the CMS NPPES public registry.