Ahmed Kazem, DO
Internal Medicine, Interventional Cardiology in Grapevine, TX. Individual provider (NPI-1).
NPI number1003376963
StatusActive
Last updated in NPPESSep 26, 2026
Details
- NPI
- 1003376963
- Entity type
- Individual (NPI-1)
- Name
- Ahmed Kazem
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Sep 26, 2026
- Last updated
- Sep 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - CARDIOVASCULAR DISEASE (CARDIOLOG
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | V0441 | TX | Yes |
Practice location
2020 W State Highway 114 Ste 200Grapevine, TX 76051-8648
Phone 817-912-8400
Mailing address
2020 W State Highway 114 Ste 200Grapevine, TX 76051-8648
Phone 817-912-8400
Other practice locations
2799 W Grand Blvd
Detroit, MI 48202-2689
Detroit, MI 48202-2689
Phone 313-916-1888
1100 Allied Dr
Plano, TX 75093-5348
Plano, TX 75093-5348
Phone 469-814-3160
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