Ismaile S.H. Abdalla, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K4841 Issued in TX

Practice address

1901 Port LN
Amarillo, TX 79106-2430

Phone

(806) 358-4596

Fax

(806) 358-6726

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bsa Hospital LLC

  • Vascular & Interventional Radiology Physician
  • Amarillo, TX
  • NPI 1609112069
  Medicare reassignment NPD
• Northwest Texas Healthcare System Inc

  • Other Specialist/Technologist
  • Amarillo, TX
  • NPI 1154347987
  Medicare reassignment NPD
• Bsa Hospital, LLC

  • Land Ambulance
  • Canyon, TX
  • NPI 1417456583
  NPD
• Baptist St. Anthony'S Hospital Corporation

  • Vascular & Interventional Radiology Physician
  • Amarillo, TX
  • NPI 1376510347
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1386610285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PORT LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062430",
            "telephone_number": "806-358-4596",
            "fax_number": "806-358-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PORT LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062430",
            "telephone_number": "806-358-4596",
            "fax_number": "806-358-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "ISMAILE",
        "middle_name": "S.H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbeville Dentistry - Amarillo Grand Street, PLLC
• Abbeville Dentistry - Amarillo, PLLC
• Abbeville Dentistry - Amarillo, PLLC
• Abbeville Dentistry - Washington St PLLC
• Paula Kay Abbott, M.ED, LPC, NCC, RPT
• Kerolos Naguib Welson Abdelmalek, MD
• Syeda Rida Abdi
• Abdul S Thannoun MD PA
• Areeg Hashim Abed, MD
• Lorna Fernandez Abel, CNA

• Cardiovascular Disease Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.