Ibyah Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

IBYAH ANESTHESIA PLLC

Practice address

7150 Greenville Ave Ste 101
Dallas, TX 75231-5165

Phone

(972) 999-1659

Fax

(205) 729-5887

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Basem Abdelfattah

Title

Admin

Phone

(972) 999-1659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1457992083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497319",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750497319",
            "telephone_number": "972-999-1659",
            "fax_number": "205-729-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 GREENVILLE AVE STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315165",
            "telephone_number": "972-999-1659",
            "fax_number": "205-729-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBYAH ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "ABDELFATTAH",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "972-999-1659"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Oluwatoyin Ibrahim, PMHNP-BC
• Mostafa A Ibrahim
• Sarah M Ibrahim, PA-C
• Stephanie Adel Ibrahim, MD
• Jon Iburg
• Ican Medics and Psych Services PLLC
• Icare Infusions, PA
• Icare Medical Group, LLC
• Icare Providers Inc
• Icare Services, Inc.

• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.