Active NPI
Peter Ezzat Wahba, MD
- Family Medicine Physician
- Little Elm, TX
National Provider Identifier
1972206472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- W8461
- Practice address
- 2700 E Eldorado Pkwy Ste 104B
Little Elm, TX 75068-5999 - Phone
- (972) 987-0458
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | W8461 | TX | Primary |
Addresses
Primary practice location
2700 E Eldorado Pkwy Ste 104B
Little Elm, TX 75068-5999
Mailing address
701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 703-5238
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230706002777 | TX | Order and Referring Only - Family Practice | 3971962184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1972206472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E ELDORADO PKWY STE 104B",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685999",
"telephone_number": "972-987-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHBA",
"first_name": "PETER",
"middle_name": "EZZAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-23",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "W8461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Elm, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.