Ahmed G Abou Khadija, DDS
Individual provider Active NPI Dentist · Houston, TX
NPI 1154026334 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1154026334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 40745 (TX)
- Practice address
- 10851 Scarsdale Blvd Ste 160
Houston, TX 77089-5737 - Phone
- (281) 824-1480
- NPI assigned
- Apr 5, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241101003410 | TX | Practitioner - Dentist | 1850824525 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambers County Public Hospital District No 1 | Current | Accepting new patients | |
| Chambers County Public Hospital District No 1 | Current |
Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current |
Accepting new patients | |
| Stephen F. Austin Community Health Center, Inc. | Current |
Accepting new patients | |
| Chambers County Public Hospital District No. 1 | Current |
Accepting new patients | |
| Centro San Vicente | Current |
Accepting new patients | |
| Centro San Vicente | Current |
Accepting new patients | |
| Partnership Community Health Center, Inc | Past |
Accepting new patients | |
| Partnership Community Health Center, Inc | Past |
Accepting new patients |
Locations
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
8061 Alameda Ave
El Paso, TX 79915
Phone (915) 859-7545
10851 Scarsdale Blvd
Ste 160
Houston, TX 77089
Phone (281) 464-3780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40745 | TX | Yes |
Addresses
Primary practice location
10851 Scarsdale Blvd Ste 160
Houston, TX 77089-5737
Mailing address
10851 Scarsdale Blvd Ste 160
Houston, TX 77089-5737
Phone (281) 824-1480
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.