Maytham Abed Al-Kubaisi, M.D

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

R2518 Issued in TX

Practice address

7777 Forest LN BLDG D
Dallas, TX 75230-2571

Phone

(972) 566-5600

NPI assigned

Jun 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Maytham Abed Srayyih Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Congenital Heart Surgery Center PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
  • NPI 1386700565
  Medicare reassignment NPD
• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620

  Pediatrics

  Medicare reassignment NPD
• Maternal-Fetal Healthcare, P.a.

  • Maternal & Fetal Medicine Physician
  • Dallas, TX
  • NPI 1073700415
  NPD (past)

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1154617355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 LAFITE LN",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341477",
            "telephone_number": "682-554-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN BLDG D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1653 W Congress Pkwy",
            "address_2": "PAV 654F",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-KUBAISI",
        "first_name": "MAYTHAM",
        "middle_name": "ABED",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-26",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.135831",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036.135831",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "R2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYTHAM",
            "last_name": "SRAYYIH",
            "middle_name": "ABED",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ibtisam Al-Hashimi, BDS, MS, PHD
• Amer Mohammad Al-Hreish, DO
• Khaled Mohammad Al-Hreish
• Qabas Al-Jobori
• Tarik Al-Kalla, M.D.
• Mohammed M Al-Obaidi, DMD, MD
• Ahmed Maher Hoory Al-Rawi
• Camli Al-Sadek, MD
• Farah Al-Saffar, MD, MPH
• Odaye Al-Shammary, DO

• Pediatric Cardiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.