Individual provider Active NPI

Nadia Takieddine, M.D.

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1033349980
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N4775 Issued in TX
Practice address
2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone
(469) 204-2021
Fax
(469) 204-2036
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PHTERM TX
Internal Medicine Physician 207R00000X N4775 TX Primary
Hospitalist Physician 208M00000X N4775 TX

Addresses

Primary practice location

2831 E President George Bush Hwy
Richardson, TX 75082-3561

Mailing address

3400 W Wheatland Rd
Pav III Ste#360
Dallas, TX 75237-4408
Phone (214) 884-4725

Other identifiers 2

IdentifierTypeStateIssuer
212315003MedicaidTX
212315002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000488 TX Practitioner - Internal Medicine 4486792447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 833-3478

2805 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 726-6100

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (972) 498-4826

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PHTERMTXMDInternal Medicine Physician
N4775TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 5, 2015 Accepting new patients
Medhealth Internal Medicine CurrentSince Jan 5, 2015 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Texas Em-I Medical Services, PA Internal Medicine Past Accepting new patients

Locations

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: ntakieddine13995@dm.mhd.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1033349980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W WHEATLAND RD",
            "address_2": "PAV III STE#360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374408",
            "telephone_number": "214-884-4725",
            "fax_number": "469-621-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 E PRESIDENT GEORGE BUSH HWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823561",
            "telephone_number": "469-204-2021",
            "fax_number": "469-204-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKIEDDINE",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "PHTERM",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4775",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N4775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212315003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212315002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.