Ahmed G Abou Khadija, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40745 Issued in TX

Practice address

10851 Scarsdale Blvd Ste 160
Houston, TX 77089-5737

Phone

(281) 824-1480

NPI assigned

Apr 5, 2023

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
  • NPI 1831267079
  Medicare reassignment NPD
• Chambers County Public Hospital District No 1

  dba Bayside Community Hospital and Clinic

  • Family Medicine Physician
  • Anahuac, TX
  • NPI 1861542235
  Medicare reassignment NPD
• Stephen F. Austin Community Health Center, Inc.

  dba Adoue Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
  • NPI 1578730818
  Medicare reassignment NPD
• Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • San Elizario, TX
  • NPI 1780761452
  NPD
• Chambers County Public Hospital District No 1

  dba Bayside Clinic

  • Federally Qualified Health Center (FQHC)
  • Anahuac, TX
  • NPI 1417032343
  NPD
• Chambers County Public Hospital District No. 1

  dba Emory Health and Rehab

  • Skilled Nursing Facility
  • Emory, TX
  • NPI 1770819377
  NPD
• Stephen F Austin Community Health Center,Inc

  dba Bacliff Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bacliff, TX
  • NPI 1962986562
  NPD
• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Waupaca, WI
  • NPI 1689294159
  NPD (past)
• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oshkosh, WI
  • NPI 1770103236
  NPD (past)

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1154026334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 SCARSDALE BLVD STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895737",
            "telephone_number": "281-824-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 SCARSDALE BLVD STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895737",
            "telephone_number": "281-824-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU KHADIJA",
        "first_name": "AHMED",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor E Abolo
• Karen Abonza
• Samer Abou Arbid
• Hani Abou Hatab, M.D
• Dany Abou Issa, MD
• Zaki Abou Mrad, MD
• Gaelle Abou Sleiman, PHARMD
• Kellie Abou-Awad
• Mousa Abou-Awad
• Tareq A Abou-Khamis, M.D.

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.