Individual provider Active NPI

Hany Ahmed Abdelfattah, D.O.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1144640996
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101021409 Issued in MI
Practice address
13737 Noel Rd Ste 1400
Dallas, TX 75240-2004
Phone
(214) 217-1922
Fax
(972) 232-2842
NPI assigned
Apr 20, 2014
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 5101021409 MI Primary

Addresses

Primary practice location

13737 Noel Rd Ste 1400
Dallas, TX 75240-2004

Mailing address

2728 Cedar Springs Rd Apt 613
Dallas, TX 75201-2334
Phone (915) 433-8218

Other practice location 1

650 Stewart Rd
Monroe, MI 48162-4222
Phone (734) 240-8430

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
I20180619001690 TX Practitioner - Emergency Medicine 4486927407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Central Texas PLLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
24 Hour Physicians, Inc Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525

3500 Gaston Ave
Dallas, TX 75246

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1144640996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 CEDAR SPRINGS RD APT 613",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012334",
            "telephone_number": "915-433-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402004",
            "telephone_number": "214-217-1922",
            "fax_number": "972-232-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Stewart Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624222",
            "country_code": "US",
            "telephone_number": "734-240-8430",
            "fax_number": "734-240-8495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELFATTAH",
        "first_name": "HANY",
        "middle_name": "AHMED",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-20",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101021409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.