Individual provider Active NPI

Hicham Dabaja, MD

  • Epilepsy Physician
  • Minneapolis, MN
National Provider Identifier
1346735750
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
67544 Issued in MN
Practice address
2450 Riverside Ave
Explored Clinic-12TH Floor
Minneapolis, MN 55454-1450
Phone
(612) 273-0690
Fax
(612) 273-0886
NPI assigned
Jun 27, 2018
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 67544 MN
Epilepsy Physician 2084E0001X 67544 MN Primary

Addresses

Primary practice location

2450 Riverside Ave
Explored Clinic-12TH Floor
Minneapolis, MN 55454-1450

Mailing address

2450 Riverside Ave
Explored Clinic-12TH Floor
Minneapolis, MN 55454-1450
Phone (612) 273-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20200622001773 MN Practitioner - EpileptologistsPractitioner - Neurology 5991040131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
EpileptologistsAlso: Neurology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 31, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Current Accepting new patients
Fairview Express Care Current Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Jun 30, 2025 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Jun 30, 2025 Accepting new patients
Mayo Clinic Current Accepting new patients
University of Minnesota Physicians CurrentSince Jul 31, 2025 Accepting new patients
University of Minnesota Pediatric Dental Clinic CurrentSince Jul 31, 2025 Accepting new patients

Locations

2450 Riverside Ave
Fl 12
Minneapolis, MN 55454
Phone (612) 273-5000

2512 S 7th St
Fl 3
Minneapolis, MN 55454
Phone (612) 365-6777

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1346735750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "address_2": "EXPLORED CLINIC-12TH FLOOR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-273-0690",
            "fax_number": "612-273-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "address_2": "EXPLORED CLINIC-12TH FLOOR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-273-0690",
            "fax_number": "612-273-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAJA",
        "first_name": "HICHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MN",
            "license": "67544",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "MN",
            "license": "67544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.