Individual provider Active NPI

Azza Abdalla

  • Obstetrics & Gynecology Physician
  • Seguin, TX
National Provider Identifier
1659725539
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
V9538 Issued in TX
Practice address
417 S King St
Seguin, TX 78155-5838
Phone
(830) 372-2791
NPI assigned
Apr 18, 2016
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X V9538 TX Primary

Addresses

Primary practice location

417 S King St
Seguin, TX 78155-5838

Mailing address

417 S King St
Seguin, TX 78155-5838
Phone (830) 372-2791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230905001495 DC Practitioner - Obstetrics/Gynecology 2062706815 Reassigns benefits to 1 organization
I20250828004659 TX Practitioner - Obstetrics/Gynecology 2062706815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe Regional Medical GroupGroup PAC ID 6800077694, 38 clinicians

Practice addresses (Care Compare)

417 S King St
Seguin, TX 78155-5838
Phone (830) 484-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V9538TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom OB GYN, LLC Obstetrics & Gynecology CurrentSince Jul 10, 2023 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

4001 Brandywine St NW
Ste 300
Washington, DC 20016
Phone (202) 449-9570

105 Medical
Seguin, TX 78155
Phone (830) 240-2826

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

417 S King St
Seguin, TX 78155
Phone (830) 484-4600

Interoperability endpoints

  • Direct secure messaging: azza.abdalla.1@27064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1659725539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S KING ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555838",
            "telephone_number": "830-372-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S KING ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555838",
            "telephone_number": "830-372-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "AZZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "V9538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.