Individual provider Active NPI

Paulette Ismalia Abbas, M.D.

  • Pediatric Surgery Physician
  • Dallas, TX
National Provider Identifier
1982997011
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
Q1339 Issued in TX
Practice address
12200 Park Central Dr Ste 400
Dallas, TX 75251-2116
Phone
(214) 483-9300
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 558801 TX
Pediatric Surgery Physician 2086S0120X Q1339 TX Primary

Addresses

Primary practice location

12200 Park Central Dr Ste 400
Dallas, TX 75251-2116

Mailing address

3115 Drexel Dr
Dallas, TX 75205-2910

Other practice location 1

6565 Fannin St
MGJ9-002
Houston, TX 77030-2703
Phone (713) 441-1577

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921000271 TX Practitioner - Pediatric MedicinePractitioner - General Surgery 3971866336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magella Medical Associates Billing IncGroup PAC ID 8729970215, 6 clinicians

Practice addresses (Care Compare)

12200 Park Central Dr
Suite 400
Dallas, TX 75251-2116
Phone (214) 483-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
558801TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Jun 18, 2021 Accepting new patients
Pediatric Surgical Associates Pediatric Surgery PastSince Oct 4, 2020 Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

3500 Gaston Ave
Dallas, TX 75246

12200 Park Central Dr
Ste 400
Dallas, TX 75251
Phone (972) 991-5437

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste C150
Dallas, TX 75230
Phone (972) 566-6171

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

1872 N Lake Forest Dr
McKinney, TX 75071
Phone (214) 592-0701

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4200 W University Dr
Ste 110
Prosper, TX 75078
Phone (972) 300-0215

4200 W University Dr
Ste 320
Prosper, TX 75078
Phone (469) 344-7667

1005 W Ralph Hall Pkwy
Ste 125
Rockwall, TX 75032
Phone (972) 475-1277

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129

1120 E Front St
Tyler, TX 75702
Phone (903) 597-7902

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1982997011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 DREXEL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512116",
            "telephone_number": "214-483-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St",
            "address_2": "MGJ9-002",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "PAULETTE",
        "middle_name": "ISMALIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "558801",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "Q1339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.