DR. NEGHAE MAWLA MD
NPI 1811047665
Internal Medicine - Nephrology in Plano, TX

Q: What is Neghae Mawla's NPI number?

The NPI number for Neghae Mawla is 1811047665. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Neghae Mawla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Neghae Mawla was last updated on November 3, 2023. 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 12, 2007PECOS EnrolledAccepts Medicare Assignment

4401 TRADITION TRL, PLANO, TX 75093(214) 358-2300(214) 579-6941 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, May 13, 2019 (2 updates tracked since 2019).

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About Dr. Neghae Mawla Md NPPES

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

DR. NEGHAE MAWLA MD (NPI 1811047665) is an individual nephrology provider in Plano, Texas, licensed in Texas (TXM5359) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1811047665

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. NEGHAE MAWLACredential: MD

Location Address4401 TRADITION TRLPlano, TX 75093-5633

Mailing Address1505 Lbj Fwy Ste 700Dallas, TX 75234-6065 · (214) 358-2300 · Fax (214) 579-6941

Phone(214) 358-2300

Fax(214) 579-6941

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJanuary 12, 2007

Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1811047665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · TXM5359

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4401 TRADITION TRL, Plano, TX 75093

Open in Google Maps ↗

Secondary Practice Location 1

Location 13604 Live Oak St Ste 300Dallas, TX 75204-6114 · Phone (214) 358-2300 · Fax (214) 826-6442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neghae Mawla 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 ID6507966298

PECOS Enrollment IDI20070710000944

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.

Medicare Billing Reassignments

Medicare enrollment records show Neghae Mawla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dallas Nephrology Associates

11 mi

Nephrology

1505 LBJ FWY STE 700
Dallas, TX 75234

Reassigned Medicare billing, Texas enrollment
183 clinicians in this Medicare group

NPI 1861440109 (214) 358-2300

Sound Inpatient Physicians Of Texas 1, Inc

37 mi

Hospitalist

1500 S MAIN ST
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Sound Inpatient Physicians Of Texas I, Inc
478 clinicians in this Medicare group

NPI 1689096570 (817) 702-3431

Advanced Surgeons & Physicians Network, Inc.

235 mi

Family Medicine

4200 TWELVE OAKS DR
Houston, TX 77027

Reassigned Medicare billing, Texas enrollment
139 clinicians in this Medicare group

NPI 1508030917 (713) 795-4884

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

113 services91 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

100 services77 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

90 services68 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

86 services44 patients

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.

67 services49 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

49 services35 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905

This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.

37 services30 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

36 services35 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist 36906

This is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.

36 services32 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

34 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

29 services22 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

22 services20 patients

Mechanical removal of obstructive material from central venous tube 36595

This procedure involves clearing blockages from a central venous tube, a device inserted into your large veins for treatment. Obstructive material can hinder the tube's function, so medical professionals use specific techniques to remove this material and restore proper functioning.

21 services13 patients

Review by radiologist of image for removal of obstructive material 75901

This procedure involves a radiologist examining images, such as X-rays or MRI scans, to identify any blockages in the body. The radiologist looks for any obstructions that might need to be removed to improve your health. It's a crucial step in planning your treatment.

21 services13 patients

Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access 93985

This procedure involves using ultrasound technology to examine the blood flow in your arteries and veins on both sides of your body. It's crucial for preparing for hemodialysis access, ensuring safe and effective treatment.

18 services18 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

16 services15 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

16 services13 patients

Balloon dilation of dialysis segment with review by radiologist 36907

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450537

Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County

Emergency services Birthing friendly

Advanced Dallas Hospitals And Clinics

Acute Care Hospitals · Dallas, TX

OwnershipProprietary

CMS Certification Number670321

Location7502 Greenville AvenueDallas, TX 75231 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 3

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

PEGGY LORENE WENTRCEK NP

Nurse Practitioner

4401 TRADITION TRL
PLANO, TX 75093

Collin County (214) 358-2300

DALLAS NEPHROLOGY ASSOCIATES

Clinic/Center (Ambulatory Surgical)

4401 TRADITION TRL
PLANO, TX 75093

Collin County (214) 579-6600

STEVEN D BEATHARD MD

Internal Medicine (Nephrology)

4401 TRADITION TRL
PLANO, TX 75093

Collin County (214) 358-2300

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 Neghae Mawla's NPI number?

The NPI number for Neghae Mawla is 1811047665. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Neghae Mawla located?

Neghae Mawla practices at 4401 Tradition Trl, Plano, TX 75093. The listed phone number is (214) 358-2300.

What is Neghae Mawla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Neghae Mawla enrolled in Medicare?

Yes. Neghae Mawla 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.

Which organizations bill Medicare for Neghae Mawla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neghae Mawla reassigns Medicare benefits to 3 organizations: Dallas Nephrology Associates (Dallas, TX), Sound Inpatient Physicians Of Texas 1, Inc (Fort Worth, TX) and Advanced Surgeons & Physicians Network, Inc. (Houston, TX). Each 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 Neghae Mawla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neghae Mawla accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Neghae Mawla 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.

Is Neghae Mawla affiliated with any hospitals?

According to CMS data, Neghae Mawla is affiliated with Hunt Regional Medical Center, Methodist Richardson Medical Center and Advanced Dallas Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Neghae Mawla was last updated on November 3, 2023. 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.