Active NPI
Abdullah Khalid Rabah, MD
- Internal Medicine Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- V8369
- Practice address
- 1000 S Beckham Ave
Tyler, TX 75701-1908 - Phone
- (903) 590-5612
- NPI assigned
- Apr 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | V8369 | TX | Primary |
Addresses
Primary practice location
1000 S Beckham Ave
Tyler, TX 75701-1908
Mailing address
15 Kinser Way
Stafford, VA 22556-8605
Other practice location 1
2231 W Gentry Pkwy
Tyler, TX 75702-2809
Phone (903) 535-9041
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611
Hospital & facility affiliations
- Ut Health East Texas Tyler Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V8369 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Tyler Family Circle of Care | Current | Accepting new patients | |
| Tyler Regional Hospital LLC | Past | Accepting new patients | |
| Tyler Family Circle of Care | Past | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2990 N Broadway Ave
Tyler, TX 75702
Phone (903) 245-1984
2231 W Gentry Pkwy
Tyler, TX 75702
Phone (903) 877-7343
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
523 S Fannin Ave
Tyler, TX 75702
214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892
Interoperability endpoints
- arabah703296@ahs.direct-ci.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1144575820
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1083356570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 KINSER WAY",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225568605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757011908",
"telephone_number": "903-590-5612"
}
],
"practiceLocations": [
{
"address_1": "2231 W Gentry Pkwy",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757022809",
"country_code": "US",
"telephone_number": "903-535-9041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RABAH",
"first_name": "ABDULLAH",
"middle_name": "KHALID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-13",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "V8369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.