Active NPI
Fayza Abdel-Reheim El-Sissy, MD
- Clinical Pathology/Laboratory Medicine Physician
- Killeen, TX
National Provider Identifier
1154323152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- G2891
- Practice address
- 2201 S Clear Creek Rd
Killeen, TX 76549-4110 - Phone
- (254) 245-9045
- Fax
- (254) 245-9284
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | G2891 | TX | Primary |
Addresses
Primary practice location
2201 S Clear Creek Rd
Killeen, TX 76549-4110
Mailing address
PO Box 10400
Killeen, TX 76547
Phone (254) 245-9045
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83P581 | Other | TX | BCBS OF TEXAS |
| 98388 | Other | TN | SCOTT AND WHITE INSURANCE |
| 220026704 | Other | TX | MEDICARE RAILRAOD |
| 103906702 | Other | TX | SUPERIOR CHIP PROGRAM |
| 103906702 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2891 | TX | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1154323152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10400",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76547",
"telephone_number": "254-245-9045",
"fax_number": "254-245-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S CLEAR CREEK RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494110",
"telephone_number": "254-245-9045",
"fax_number": "254-245-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-SISSY",
"first_name": "FAYZA",
"middle_name": "ABDEL-REHEIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "TX",
"license": "G2891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "83P581",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCOTT AND WHITE INSURANCE",
"identifier": "98388",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILRAOD",
"identifier": "220026704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR CHIP PROGRAM",
"identifier": "103906702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103906702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.