Asim Ahmed Kichloo, M.D.
Internal Medicine in Fort Worth, TX. Individual provider (NPI-1).
NPI number1649669136
StatusActive
Last updated in NPPESJan 12, 2024
Details
- NPI
- 1649669136
- Entity type
- Individual (NPI-1)
- Name
- Asim Ahmed Kichloo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2015
- Certification date
- Jan 12, 2024
- Last updated
- Jan 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- 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 |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | U7887 | TX | Yes |
| 207R00000X | Internal Medicine | 4301110962 | MI | |
| 207R00000X | Internal Medicine | 48656 | KY |
Practice location
855 Montgomery StFort Worth, TX 76107-2553
Phone 817-735-2200 · Fax 817-735-5441
Mailing address
855 Montgomery StFort Worth, TX 76107-2553
Phone 817-735-2200 · Fax 817-735-5441
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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