Shehetaj G Abdurrahim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L3212 Issued in TX

Practice address

2701 Prince George Ave Ste 100
Desoto, TX 75115-2087

Phone

(972) 634-8110

Fax

(972) 634-8220

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Care Network Home health agency, Palestine, TX, CCN 679086
• Encompass Home Health of DFW Home health agency, Grapevine, TX, CCN 679428
• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
• Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGGDDD/Endpoint/FGGDDD
• Direct secure messaging: dmckpatel@yourcarecommunity.org

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.

• The Dallas Clinic 23 PLLC

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1255197653

  Internal Medicine, TX

  Medicare reassignment NPD Authorized official
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596

  TX

  Medicare reassignment
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897

  Internal Medicine

  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Hospital

  Care Compare affiliation
• Eh Home Health of DFW, LLC

  • Home Health Agency
  • Grapevine, TX
  • NPI 1245521103
  Care Compare affiliation
• Home Care Network East, Inc

  • Home Health Agency
  • Palestine, TX
  • NPI 1942209606
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131

  Hospital

  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786

  Hospital

  Care Compare affiliation
• University of Texas Southwestern Medical Center at Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1285798918

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1437188372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PRINCE GEORGE AVE STE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152087",
            "telephone_number": "972-634-8110",
            "fax_number": "972-634-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PRINCE GEORGE AVE STE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152087",
            "telephone_number": "972-634-8110",
            "fax_number": "972-634-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDURRAHIM",
        "first_name": "SHEHETAJ",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-06-27",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160498503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160498502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160498501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Unique Family Home LLC
• A Voice, LLC
• A-1 Managed Care Services, LLC
• A-Plus Care at Home, LLC
• Abba Group Healthcare
• Ability First Care, LLC
• Above Cloud 9 Counseling & Consulting, PLLC
• Above&Beyond Healthcare Service, Inc.
• Jaina Abraham
• Lakia Abron

• All providers in Desoto, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.