Individual provider Active NPI

Dina Itum Madni, MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1538503735
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R3873 Issued in TX
Practice address
7777 Forest LN Ste A331
Dallas, TX 75230-2538
Phone
(972) 566-7860
Fax
(972) 566-6673
NPI assigned
Apr 18, 2013
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R3873 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste A331
Dallas, TX 75230-2538

Mailing address

7777 Forest LN Ste A331
Dallas, TX 75230-2538
Phone (972) 566-7860

Other practice location 1

5673 W Spring Creek Pkwy Ste 105
Plano, TX 75024-3577
Phone (972) 566-7860

Other identifiers 2

IdentifierTypeStateIssuer
407513701MedicaidTX
407514501MedicaidTX

Other names 1

  • Dr. Dina Shaher Itum Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180830000321 TX Practitioner - General Surgery 4587914296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7777 Forest LN
Suite A331
Dallas, TX 75230-2538
Phone (972) 566-7860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dina Itum, MD, PLLC Surgery CurrentSince Sep 1, 2018 Accepting new patients

Locations

7777 Forest Ln
Ste A331
Dallas, TX 75230
Phone (972) 566-2734

Organizations & group practices 2

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1538503735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302538",
            "telephone_number": "972-566-7860",
            "fax_number": "972-566-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302538",
            "telephone_number": "972-566-7860",
            "fax_number": "972-566-6673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5673 W Spring Creek Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243577",
            "country_code": "US",
            "telephone_number": "972-566-7860",
            "fax_number": "972-566-6673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADNI",
        "first_name": "DINA",
        "middle_name": "ITUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R3873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407513701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407514501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "ITUM",
            "middle_name": "SHAHER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.