NEDIRA M ABDOWAISE (PA) – Physician Assistant, NPI 1114014883

NEDIRA M ABDOWAISE (PA) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA03124 (TX). The NPI Number for NEDIRA M ABDOWAISE (PA) is 1114014883

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
NEDIRA M ABDOWAISE (PA)
NPI
1114014883
Phone
(281) 440-2543
Address
710 FM 1960 WEST
Enumeration Date
6 October 2006
Last Update Date
21 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814964948
Graduation Year
2001 (25 years ago)
PAC ID
8426949058
Group Practice PAC ID
1951486406
Professional Enrollment ID
I20040420000847
Address ID
TX770774327HO2150X6XXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for NEDIRA M ABDOWAISE (PA)

  • FM 1960 West, Houston, Harris County, Texas, 77064, United States

    HOUSTON, TX 77090

    Phone: (281) 440-2543

    Fax: (409) 772-0885

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040420000847IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951486406View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineTX
Emergency MedicineTX
-TX
Nurse PractitionerFL
Emergency MedicineDC
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantCO

Reviews

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Frequently asked questions

What NPI should I save for NEDIRA M ABDOWAISE (PA)?
Save NPI 1114014883 if you need a stable reference for NEDIRA M ABDOWAISE (PA).
Is NEDIRA M ABDOWAISE (PA) active in the national directory?
NEDIRA M ABDOWAISE (PA)'s public NPI profile is in an active state.
What does NEDIRA M ABDOWAISE (PA) treat or focus on?
Patients typically see NEDIRA M ABDOWAISE (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does NEDIRA M ABDOWAISE (PA) practice in Texas?
You will see Houston, Texas on file for NEDIRA M ABDOWAISE (PA) alongside any extra practice locations.
Is NEDIRA M ABDOWAISE (PA) a real provider?
This page reflects official NPPES data for NPI 1114014883. Always confirm identity and privileges with the practice and licensing boards.

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