Hibaa Luqman Thayyil, DO MEDICAL STUDENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4603 Biruni St
Irving, TX 75062-2610

Phone

(214) 789-3451

NPI assigned

Apr 26, 2024

Reactivated

Apr 7, 2025

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

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 Osteopathy

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1447006739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 BIRUNI ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622610",
            "telephone_number": "214-789-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 BIRUNI ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622610",
            "telephone_number": "214-789-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYYIL",
        "first_name": "HIBAA",
        "middle_name": "LUQMAN",
        "credential": "DO MEDICAL STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2025-04-07",
        "certification_date": "2024-04-26",
        "deactivation_date": "2025-03-26",
        "reactivation_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Star Rehab and Performance Center, LLC
• Shamsad Texiwala, MSW, LCSW
• Thuan Thai, CSFA
• Rameshwar Thapa, RN PMHNP-BC
• Nicole Lynn Thaxton, PT
• The Anders Group
• The Eye Physician Group PLLC (Irving Vision Care)
• The Hearing and Tinnitus Center of Dallas-Fort Worth, PLLC
• The Heritage Residence LLC
• The Home Care Team, Inc (Med Team, Inc)

• Student in an Organized Health Care Education/Training Program in Irving, TX
• Providers in Irving, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.