JEFFREY HAMADA – Emergency Medicine Physician, NPI 1174263982

JEFFREY HAMADA is a healthcare provider. based in Fort worth, Texas. specializing in EMERGENCY MEDICINE. They hold a License No. U9540 (TX). The NPI Number for JEFFREY HAMADA is 1174263982

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY HAMADA
NPI
1174263982
Phone
(817) 922-4542
Address
1400 8TH AVE
Enumeration Date
30 March 2022
Last Update Date
21 January 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
8179262544
Graduation Year
2022 (4 years ago)
PAC ID
5193102606
Group Practice PAC ID
6406151703
Professional Enrollment ID
I20240911003551
Address ID
TX761044110FO1400XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for JEFFREY HAMADA

  • 1400 8TH AVE

    FORT WORTH, TX 761044110

    Phone: (817) 922-4542

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240911003551IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406151703View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEFFREY HAMADA?
JEFFREY HAMADA — NPI 1174263982 — is the standard way to identify this listing.
Is JEFFREY HAMADA still practicing?
JEFFREY HAMADA is currently listed as active in the public NPI registry.
What is JEFFREY HAMADA's specialty?
The listing groups JEFFREY HAMADA with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFREY HAMADA?
JEFFREY HAMADA's geographic hint is Fort Worth, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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