Individual provider Active NPI

Kamel Abdellaoui, APN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1598474181
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1099400 Issued in TX
Practice address
1777 NE Loop 410 Ste 600
San Antonio, TX 78217-5218
Phone
(210) 417-0045
Fax
(929) 734-9668
NPI assigned
Nov 22, 2022
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1099400 TX Primary

Addresses

Primary practice location

1777 NE Loop 410 Ste 600
San Antonio, TX 78217-5218

Mailing address

7604 Pecos RDG
Boerne, TX 78015-5143
Phone (210) 417-0045

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331002234 TX Practitioner - Nurse Practitioner 3375918535 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hasna and Sayed Tree of Life LLC Family CurrentSince Aug 4, 2025 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince Aug 1, 2023 Accepting new patients
Dominion Health Services, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

1777 NE Loop 410
Ste 600
San Antonio, TX 78217
Phone (210) 247-9691

24165 Ih 10 W
Ste 217283
San Antonio, TX 78257
Phone (210) 417-0045

9901 W Interstate 10
Ste 800
San Antonio, TX 78230
Phone (210) 415-6823

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1598474181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 PECOS RDG",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780155143",
            "telephone_number": "210-417-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410 STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175218",
            "telephone_number": "210-417-0045",
            "fax_number": "929-734-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELLAOUI",
        "first_name": "KAMEL",
        "name_prefix": "Mr.",
        "credential": "APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.