Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dima Otaishan

Individual provider Hospitalist Physician · NPI 1417451618

Dima Otaishan is a Hospitalist in Dallas, Texas. Qualified in 2014, 12 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
12
Licensed in
IL, TX
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

6201 Harry Hines Blvd
Dallas, TX 75390-8409
Phone: (817) 987-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence U9327 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence 036156979 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417451618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas