NPIMap

Individual provider Active NPI

Ehab Ibrahim Hanna, MD

  • Internal Medicine Physician
  • Crowley, TX
National Provider Identifier
1063624302
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N1245 Issued in TX
Practice address
921 E FM 1187 Ste a
Crowley, TX 76036-4364
Phone
(817) 945-1682
Fax
(817) 945-1686
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N1245 TX Primary

Addresses

Primary practice location

921 E FM 1187 Ste a
Crowley, TX 76036-4364

Mailing address

921 E FM 1187
Suite a
Crowley, TX 76036-4363
Phone (817) 945-1682

Other practice location 1

6251 Oakmont Blvd
Fort Worth, TX 76132-3119
Phone (682) 250-7500

Other names 1

  • Dr. Ehab Ebrahim Abdelsayed Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000853 TX Practitioner - Internal Medicine 1456440825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dandj Grace Team LLCGroup PAC ID 0143477729, 5 clinicians

Practice addresses (Care Compare)

1661 Eastchase Pkwy
Fort Worth, TX 76120-4407
Phone (817) 449-2555

6251 Oakmont Blvd
Fort Worth, TX 76132-3119
Phone (682) 250-5700

921 E FM
1187 Suite a
Crowley, TX 76036-4364
Phone (817) 449-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
D&J Grace Team LLC Internal Medicine CurrentSince Jul 31, 2012 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Past Accepting new patients
Quantum Emergency Physicians PA Internal Medicine Past Accepting new patients

Locations

921 FM 1187 E
Ste A
Crowley, TX 76036
Phone (817) 297-2000

6251 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-5700

1661 Eastchase Pkwy
Ft Worth, TX 76120
Phone (682) 250-5700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEJCA/Endpoint/IEEJCA

Organizations & group practices 3

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 4

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1063624302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E FM 1187",
            "address_2": "SUITE A",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364363",
            "telephone_number": "817-945-1682",
            "fax_number": "817-945-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FM 1187 STE A",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364364",
            "telephone_number": "817-945-1682",
            "fax_number": "817-945-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6251 Oakmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323119",
            "country_code": "US",
            "telephone_number": "682-250-7500",
            "fax_number": "682-250-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "EHAB",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EHAB",
            "last_name": "ABDELSAYED",
            "middle_name": "EBRAHIM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crowley, TX

Sources for this page

Verify at the official NPI Registry.