Organization Active NPI

Alla Al-Habib MD PLLC

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1366059230
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ALLA AL-HABIB MD PLLC
Practice address
6124 W Parker Rd Ste 432
Plano, TX 75093-8124
Phone
(972) 403-3100
Fax
(972) 403-3105
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Alla Al-HabibNPI 1588900096
Title
MD/President
Phone
(713) 824-7499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 432
Plano, TX 75093-8124

Mailing address

6124 W Parker Rd Ste 432
Plano, TX 75093-8124
Phone (972) 403-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520003062 TX Part B Supplier - Clinic/Group Practice 2567861735 Receives reassigned benefits from 3 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1366059230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 432",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-403-3100",
            "fax_number": "972-403-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 432",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-403-3100",
            "fax_number": "972-403-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLA AL-HABIB MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "AL-HABIB",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "713-824-7499"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.