ASIM AHMED KICHLOO M.D.
NPI 1649669136
Internal Medicine in Fort Worth, TX

Q: What is Asim Kichloo's NPI number?

The NPI number for Asim Kichloo is 1649669136. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Q: What is Asim Kichloo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Asim Kichloo was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 21, 2015PECOS EnrolledAccepts Medicare Assignment

85.83/100

CMS Quality Rating

855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2200(817) 735-5441 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2021, Aug 24, 2017 (2 updates tracked since 2017).

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About Asim Ahmed Kichloo M.d. NPPES

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

ASIM AHMED KICHLOO M.D. (NPI 1649669136) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (U7887) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Chippewa County War Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1649669136

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameASIM AHMED KICHLOOCredential: M.D.

Location Address855 MONTGOMERY STFort Worth, TX 76107-2553

Mailing Address855 Montgomery StFort Worth, TX 76107-2553 · (817) 735-2200 · Fax (817) 735-5441

Phone(817) 735-2200

Fax(817) 735-5441

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 21, 2015

Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2024

✔ NPI 1649669136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · U7887✔ Licensed in MI · 4301110962✔ Licensed in KY · 48656

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.

855 MONTGOMERY ST, Fort Worth, TX 76107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Asim Ahmed Kichloo M.d. 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 ID7113236555

PECOS Enrollment IDI20170220002657, I20240123004478

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230239

Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County

Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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.

85.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.73

Promoting Interoperability

Improvement Activities

Cost

64.93

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

35%80 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$17.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$89.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH

Pathology (Clinical Pathology/Laboratory Medicine)