Active NPI
Dina Itum, MD, PLLC
Doing business as Dina Madni MD
- Surgery Physician
- Dallas, TX
National Provider Identifier
1093205965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- DINA ITUM, MD, PLLC
- Doing business as
- Dina Madni MD
- Practice address
- 7777 Forest LN Ste A331
Dallas, TX 75230-2538 - Phone
- (972) 566-7860
- Fax
- (972) 566-6673
- NPI assigned
- May 15, 2018
- Last updated
- Jul 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Paige Benners
- Title
- Practice Administrator
- Phone
- (972) 942-8861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
7777 Forest LN Ste A331
Dallas, TX 75230-2538
Mailing address
7777 Forest LN Ste A331
Dallas, TX 75230-2538
Phone (972) 566-7860
Other practice location 1
5673 W Spring Creek Pkwy Ste 105
Plano, TX 75024-3577
Phone (972) 566-7860
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407513701 | Medicaid | TX | |
| 407514501 | Medicaid | TX |
Other names 3
- DINA MADNI MD
- Dina Madni, MD
- Surgical Consultants of Dallas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Dallas, TX
- NPI 1538503735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1093205965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE A331",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302538",
"telephone_number": "972-566-7860",
"fax_number": "972-566-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE A331",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302538",
"telephone_number": "972-566-7860",
"fax_number": "972-566-6673"
}
],
"practiceLocations": [
{
"address_1": "5673 W Spring Creek Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750243577",
"country_code": "US",
"telephone_number": "972-566-7860",
"fax_number": "972-566-6673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DINA ITUM, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-15",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "BENNERS",
"authorized_official_first_name": "REBEKAH",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "972-942-8861"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407513701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407514501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DINA MADNI MD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dina Madni, MD",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Surgical Consultants of Dallas",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.