Dina Abdelwahab, MD
Individual provider Active NPI Nephrology Physician · Dallas, TX
NPI 1801050208 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1801050208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- N7043 (TX)
- Practice address
- 411 N Washington Ave Ste 7000
Dallas, TX 75246-1791 - Phone
- (214) 358-2300
- Fax
- (214) 579-6988
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hospital Medicine Services of TX, PLLC
The Queens Medical Center
Practice addresses (Care Compare)
12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000
1301 Punchbowl St
Honolulu, HI 96813-2499
550 S Beretania St
Honolulu, HI 96813-2496
Hospital & facility affiliations
- Methodist Hospital
- The Queens Medical Center
- United Regional Health Care System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in TX, AZ, CT, PA, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110411000395 | TX | Practitioner - Nephrology |
0042335440 | Reassigns benefits to 3 organizations |
| I20160831002127 | AZ | Practitioner - Internal Medicine |
0042335440 | |
| I20170613001517 | CT | Practitioner - Hospitalist |
0042335440 | Reassigns benefits to 1 organization |
| I20190122000400 | PA | Practitioner - Nephrology | 0042335440 | Reassigns benefits to 2 organizations |
| I20250429003634 | HI | Practitioner - Nephrology | 0042335440 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD466042 | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Nephrology Associates | Current |
Accepting new patients | |
| Temple Physician Inc. | Internal Medicine | Current |
Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| The Queens Medical Center | Current |
Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current |
Accepting new patients | |
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| Ut Physicians | Current |
Accepting new patients | |
| Ut Physicians | Family Medicine | Current |
Accepting new patients |
| Dallas Nephrology Associates | Nephrology | Current |
Accepting new patients |
| Queens University Medical Group | Current |
Accepting new patients | |
| Hospital Medicine Services of TX, PLLC | Current |
Accepting new patients | |
| Temple Physicians Inc | Internal Medicine | Current |
Accepting new patients |
| The Queen'S Medical Center | Current |
Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Connecticut, LLC | Family Medicine | Current |
Accepting new patients |
| SMSJ Tucson Holdings LLC | Past | Accepting new patients |
Locations
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
3604 Live Oak St
Ste 100
Dallas, TX 75204
411 N Washington Ave
Ste 7000
Dallas, TX 75246
Phone (214) 823-7090
1420 Viceroy Dr
Dallas, TX 75235
1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110
6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289
1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
- dabdelwahabelhamahmi76661@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N7043 | TX | |
| Nephrology Physician | 207RN0300X | MD466042 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | N7043 | TX | Yes |
Addresses
Primary practice location
411 N Washington Ave Ste 7000
Dallas, TX 75246-1791
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-4600
Other practice location 1
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 296-3211
Other practice location 2
1420 Viceroy Dr
Dallas, TX 75235-2208
Phone (214) 358-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N7043 | Other | TX | LICENSE |
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.