Organization Active NPI

Highlands Medical Associates, P.a.

  • Family Medicine Physician
  • Highlands, TX
National Provider Identifier
1114221090
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIGHLANDS MEDICAL ASSOCIATES, P.A.
Practice address
607 E Wallisville Rd
Highlands, TX 77562-3831
Phone
(281) 426-8586
Fax
(281) 426-7983
NPI assigned
Jan 6, 2011
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Dallal Abdelsayed, M.D.NPI 1649345216
Title
Physician/Director
Phone
(281) 426-8586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

607 E Wallisville Rd
Highlands, TX 77562-3831

Mailing address

607 E Wallisville Rd
Highlands, TX 77562-3831
Phone (281) 426-8586

Other identifiers 1

IdentifierTypeStateIssuer
4388704OtherAETNA PROVIDER NUMBER

Other names 1

  • Dallal Abdelsayed, M.D. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907000844 TX Part B Supplier - Clinic/Group Practice 5890965529 Receives reassigned benefits from 2 practitioners
Practice locations: Highlands, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1114221090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E WALLISVILLE RD",
            "city": "HIGHLANDS",
            "state": "TX",
            "postal_code": "775623831",
            "telephone_number": "281-426-8586",
            "fax_number": "281-426-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E WALLISVILLE RD",
            "city": "HIGHLANDS",
            "state": "TX",
            "postal_code": "775623831",
            "telephone_number": "281-426-8586",
            "fax_number": "281-426-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "ABDELSAYED",
        "authorized_official_first_name": "DALLAL",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "281-426-8586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4388704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallal Abdelsayed, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dallal Abdelsayed, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Highlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.