Organization Active NPI

Skyline Anesthesia PLLC

  • Anesthesiology Physician
  • Allen, TX
National Provider Identifier
1861354235
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SKYLINE ANESTHESIA PLLC
Practice address
6803 Greenhill CT
Allen, TX 75002-6933
Phone
(501) 681-5568
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Amre Aboul-Fettouh, DONPI 1144883067
Title
Manager
Phone
(501) 681-5568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

6803 Greenhill CT
Allen, TX 75002-6933

Mailing address

6803 Greenhill CT
Allen, TX 75002-6933
Phone (501) 681-5568

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1861354235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 GREENHILL CT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750026933",
            "telephone_number": "501-681-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 GREENHILL CT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750026933",
            "telephone_number": "501-681-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "ABOUL-FETTOUH",
        "authorized_official_first_name": "AMRE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-681-5568",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.