Individual provider Active NPI

Ghada Abdalla Elhaj, MD

  • Pediatrics Physician
  • Prosper, TX
National Provider Identifier
1144309519
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U1491 Issued in TX
Practice address
321 N Preston Rd Ste C
Prosper, TX 75078-8882
Phone
(469) 488-4900
Fax
(469) 488-4901
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U1491 TX Primary
Pediatrics Physician 208000000X 0101236206 VA

Addresses

Primary practice location

321 N Preston Rd Ste C
Prosper, TX 75078-8882

Mailing address

5212 Dawes Ave
Alexandria, VA 22311
Phone (703) 578-6881

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220000405 TX Practitioner - Pediatric Medicine 5092296855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Boston University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

310 S Clark Rd
Suite D
Duncanville, TX 75116-4234

5505 Seminary Rd
Apt 415N
Falls Church, VA 22041-2934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U1491TXMDPediatrics Physician
0101236206VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nourmdx LLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

310 S Clark Rd
Duncanville, TX 75116

310 S Clark Rd
Ste D
Duncanville, TX 75116
Phone (469) 513-2700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCGDDD/Endpoint/FCGDDD

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1144309519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22311",
            "telephone_number": "703-578-6881",
            "fax_number": "703-379-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N PRESTON RD STE C",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788882",
            "telephone_number": "469-488-4900",
            "fax_number": "469-488-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAJ",
        "first_name": "GHADA",
        "middle_name": "ABDALLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U1491",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101236206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.