Active NPI
Ihab Abdel-Aziz Abdel-Khalek, M.D.
- Pediatrics Physician
- Clayton, NC
National Provider Identifier
1124183710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 99041497
- Practice address
- 11708 Hwy 70 West
Clayton, NC 27520 - Phone
- (919) 550-2770
- Fax
- (919) 553-7926
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 99041497 | NC | Primary |
Addresses
Primary practice location
11708 Hwy 70 West
Clayton, NC 27520
Mailing address
PO Box 510
Clayton, NC 27528-0510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12926 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8912926 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99041497 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1124183710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275280510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11708 HWY 70 WEST",
"city": "CLAYTON",
"state": "NC",
"postal_code": "27520",
"telephone_number": "919-550-2770",
"fax_number": "919-553-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEL-KHALEK",
"first_name": "IHAB",
"middle_name": "ABDEL-AZIZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "99041497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12926",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912926",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.