Active NPI
Nageeb Abdalla, MD
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1235219593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K3049
- Practice address
- 1100 W 34TH St
Houston, TX 77018-6206 - Phone
- (713) 861-3939
- Fax
- (713) 867-7819
- NPI assigned
- Oct 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K3049 | TX | Primary |
Addresses
Primary practice location
1100 W 34TH St
Houston, TX 77018-6206
Mailing address
1100 W 34TH St
Houston, TX 77018-6206
Phone (713) 861-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8431J1 | 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
Interoperability endpoints
- nageeb.abdalla.1@19643.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1235219593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 34TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770186206",
"telephone_number": "713-861-3939",
"fax_number": "713-867-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 34TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770186206",
"telephone_number": "713-861-3939",
"fax_number": "713-867-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDALLA",
"first_name": "NAGEEB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K3049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8431J1",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.