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HICHAM DABAJA MD
NPI 1346735750
Psychiatry & Neurology - Epilepsy in Minneapolis, MN

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
2450 RIVERSIDE AVE, EXPLORED CLINIC-12TH FLOOR, MINNEAPOLIS, MN 55454(612) 273-0690(612) 273-0886 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2026, Jul 17, 2024, Aug 27, 2020 and 3 more (6 updates tracked since 2018).

About Hicham Dabaja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HICHAM DABAJA MD (NPI 1346735750) is an individual epilepsy provider in Minneapolis, Minnesota, licensed in Minnesota (67544) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346735750
Entity TypeIndividualMale
Primary Taxonomy2084E0001X
Provider Legal NameHICHAM DABAJACredential: MD
Location Address2450 RIVERSIDE AVE, EXPLORED CLINIC-12TH FLOORMinneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave, Explored Clinic-12th FloorMinneapolis, MN 55454-1450 · (612) 273-0690 · Fax (612) 273-0886
Phone(612) 273-0690
Fax(612) 273-0886
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 27, 2018
Last NPPES UpdateJanuary 16, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1346735750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in MN · 67544
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 67544 (MN)
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hicham Dabaja Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991040131
PECOS Enrollment IDI20200622001773
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Hicham Dabaja reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Specialty Services
Same address
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
Fairview Express Care
Same address
Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1841428745 (612) 672-6999
University Of Minnesota Pediatric Dental Clinic
0.1 mi
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
NPI 1992075287 (651) 659-4900
University Of Minnesota Health Clinics And Surgery Center Inc
0.7 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383
Mayo Clinic
76 mi
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hicham Dabaja's NPI number?

The NPI number for Hicham Dabaja is 1346735750. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Hicham Dabaja located?

Hicham Dabaja practices at 2450 Riverside Ave Explored Clinic-12th Floor, Minneapolis, MN 55454. The listed phone number is (612) 273-0690.

What is Hicham Dabaja's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Hicham Dabaja enrolled in Medicare?

Yes. Hicham Dabaja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hicham Dabaja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hicham Dabaja reassigns Medicare benefits to 5 organizations: Fairview Specialty Services (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and Mayo Clinic (Rochester, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hicham Dabaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hicham Dabaja was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.