DJILLALI BOUDJENAH (MD) – Psychiatry Physician, NPI 1083724256

DJILLALI BOUDJENAH (MD) is a healthcare provider. based in Plano, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. CS00211459 (NM). The NPI Number for DJILLALI BOUDJENAH (MD) is 1083724256

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DJILLALI BOUDJENAH (MD)
NPI
1083724256
Phone
(214) 888-7711
Address
PO BOX 867443
Enumeration Date
30 August 2006
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9173368422
Graduation Year
1992 (34 years ago)
PAC ID
6901906544
Professional Enrollment ID
I20130709000313
Address ID
TX750105036CA4425XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for DJILLALI BOUDJENAH (MD)

  • PO BOX 867443

    PLANO, TX 750867443

    Phone: (214) 888-7711

    Type: Mailing

  • 1507 Bill Beck Blvd

    Kissimmee, FL 347449516

    Phone: (407) 943-8618

    Type: Location

  • Medical City Green Oaks Hospital, 7808, Clodus Fields Drive, Dallas, Dallas County, Texas, 75251, United States

    DALLAS, TX 752514914

    Phone: (972) 770-1032

    Type: Mailing

  • 4425 PLANO PKWY STE 1401

    CARROLLTON, TX 750105036

    Phone: (214) 888-7711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-11-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($25).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130709000313IPsychiatryTXTBD
I20250829001637IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11323$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4419$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2827$0
99239Hospital discharge day management, more than 30 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 75086)

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Reviews

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Frequently asked questions

What unique ID ties claims to DJILLALI BOUDJENAH (MD)?
NPI 1083724256 is assigned to DJILLALI BOUDJENAH (MD) under the national enumeration system.
Is DJILLALI BOUDJENAH (MD) currently active in the NPI registry?
CMS-published data lists DJILLALI BOUDJENAH (MD) as an active registrant.
What does DJILLALI BOUDJENAH (MD) treat or focus on?
Patients typically see DJILLALI BOUDJENAH (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for DJILLALI BOUDJENAH (MD)?
We surface Plano, Texas for DJILLALI BOUDJENAH (MD) based on available NPPES addresses.
Is DJILLALI BOUDJENAH (MD) a real provider?
This page reflects official NPPES data for NPI 1083724256. Always confirm identity and privileges with the practice and licensing boards.

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