Organization Active NPI

Dina Itum, MD, PLLC

Doing business as Dina Madni MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1093205965
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
407513701MedicaidTX
407514501MedicaidTX

Other names 3

  • DINA MADNI MD Doing business as
  • Dina Madni, MD Other name
  • Surgical Consultants of Dallas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180830000291 TX Part B Supplier - Clinic/Group Practice 3678823382 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.