Active NPI
Yezan Hesham Abderrahman, M.D.
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- S5304
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2088 - Phone
- (214) 820-0111
- NPI assigned
- Apr 10, 2017
- Last updated
- Jul 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | S5304 | TX | Primary |
| Anesthesiology Physician | 207L00000X | MD-47033 | IA | |
| Pediatrics Physician | 208000000X | S5304 | TX | |
| Pediatrics Physician | 208000000X | 35150817 | OH | |
| Hospitalist Physician | 208M00000X | S5304 | TX | |
| Hospitalist Physician | 208M00000X | 35150817 | OH |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2088
Mailing address
3500 Gaston Ave
Dallas, TX 75246-2088
Other practice location 1
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-2633 ext. 50550
Other practice location 2
9525 Greenville Ave
Dallas, TX 75243-4116
Phone (945) 258-7900
Other practice location 3
335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8581
Other practice location 4
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2320
Other practice location 5
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone (641) 684-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044260 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State University of Iowa
Practice addresses (Care Compare)
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35150817 | OH | MD | Pediatrics Physician |
| MD-47033 | IA | MD | Hospitalist Physician |
| S5304 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ottumwa Health Group LLC | Current | Accepting new patients | |
| Ottumwa Health Group LLC | Current | Accepting new patients | |
| RCHP Ottumwa LLC | Past | Accepting new patients | |
| State University of Iowa | Pediatrics | Past | Accepting new patients |
Locations
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
1003 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 682-2514
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Organizations & group practices 4
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.
-
- Gynecology Physician
- Ottumwa, IA
- NPI 1386956290
-
dba Ottumwa Women's Health Clinic
- Rural Health Clinic/Center
- Ottumwa, IA
- NPI 1336919364
-
dba Ottumwa Regional Health Center
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
-
dba University of Iowa Health Care
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
Pediatrics
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Iowa Health Care Medical Center
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1215460878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462088",
"telephone_number": "214-820-0111"
}
],
"practiceLocations": [
{
"address_1": "701 W Forevergreen Rd",
"address_purpose": "LOCATION",
"city": "North Liberty",
"state": "IA",
"postal_code": "523179848",
"country_code": "US",
"telephone_number": "319-356-2633 x50550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9525 Greenville Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752434116",
"country_code": "US",
"telephone_number": "945-258-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 Glessner Ave",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449032269",
"country_code": "US",
"telephone_number": "419-526-8581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2320",
"fax_number": "319-384-6265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Ottumwa",
"state": "IA",
"postal_code": "525016427",
"country_code": "US",
"telephone_number": "641-684-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDERRAHMAN",
"first_name": "YEZAN",
"middle_name": "HESHAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "S5304",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "MD-47033",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S5304",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35150817",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "S5304",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35150817",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0044260",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.