Individual provider Active NPI

Henia Azhar Abid, D.O.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1962778357
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P9495 Issued in TX
Practice address
8200 Walnut Hill LN
Dallas, TX 75231-4426
Phone
(214) 345-7924
Fax
(214) 345-8784
NPI assigned
Mar 29, 2012
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 566157 TX
Internal Medicine Physician 207R00000X P9495 TX Primary

Addresses

Primary practice location

8200 Walnut Hill LN
Dallas, TX 75231-4426

Mailing address

5310 Galaxie Rd
Garland, TX 75044-4502
Phone (972) 849-8012

Other identifiers 1

IdentifierTypeStateIssuer
P9495OtherTXMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address habid262317@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 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
I20151015000167 TX Practitioner - Internal Medicine 7810206794 Reassigns benefits to 2 organizations
I20260610001234 IL Practitioner - Internal Medicine 7810206794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poppy Drive Inpatient Services PLLCGroup PAC ID 2163652009, 12 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

231 S Collins Rd
Sunnyvale, TX 75182-4624
Phone (954) 939-5000

4700 Alliance Blvd
Plano, TX 75093-5323

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
566157TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 15, 2016 Accepting new patients
Poppy Drive Inpatient Services PLLC Internal Medicine CurrentSince Jan 25, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince May 15, 2016 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Texas Regional Medical Center, LLC Past Accepting new patients
Baylor Regional Medical Center at Plano Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Interoperability endpoints

  • Direct secure messaging: habid262317@direct.sw.org

Organizations & group practices 7

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1962778357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 GALAXIE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750444502",
            "telephone_number": "972-849-8012",
            "fax_number": "972-495-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314426",
            "telephone_number": "214-345-7924",
            "fax_number": "214-345-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABID",
        "first_name": "HENIA",
        "middle_name": "AZHAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "566157",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "P9495",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "habid262317@direct.sw.org",
            "affiliation": "N",
            "address_1": "4700 Alliance Blvd Ste 400",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.