Active NPI
Khaled Alabdallah
- Cardiovascular Disease Physician
- Galveston, TX
National Provider Identifier
1356832893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- U4454
- Practice address
- 301 8TH St
Galveston, TX 77555-5400 - Phone
- (409) 772-1011
- NPI assigned
- May 21, 2018
- Last updated
- Jun 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | U4454 | TX | Primary |
Addresses
Primary practice location
301 8TH St
Galveston, TX 77555-5400
Mailing address
18833 Town Ridge LN Apt 2309
Webster, TX 77598-1631
Phone (244) 331-2492
Other practice location 1
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000
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 |
|---|---|---|---|
| U4454 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients |
Locations
301 8th St
Galveston, TX 77555
Phone (409) 266-0370
Organizations & group practices 1
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1356832893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18833 TOWN RIDGE LN APT 2309",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775981631",
"telephone_number": "244-331-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 8TH ST",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555400",
"telephone_number": "409-772-1011"
}
],
"practiceLocations": [
{
"address_1": "330 Brookline Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155400",
"country_code": "US",
"telephone_number": "617-667-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALABDALLAH",
"first_name": "KHALED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-21",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "U4454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.