Active NPI
Abdurrahman M Hamadah, MD
- Internal Medicine Physician
- Duluth, MN
National Provider Identifier
1013203561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.143770
- Practice address
- 1001 E Superior St Ste L201
Duluth, MN 55802-2207 - Phone
- (218) 249-5555
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 55301 | MN | |
| Nephrology Physician | 207RN0300X | 036.143770 | IL | |
| Internal Medicine Physician | 207R00000X | 036.143770 | IL | Primary |
Addresses
Primary practice location
1001 E Superior St Ste L201
Duluth, MN 55802-2207
Mailing address
1001 E Superior St Ste L201
Duluth, MN 55802-2207
Phone (218) 249-5555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN | |
| P01103375 | Other | MN | RAILROAD MEDICARE |
| ENROLLED | Medicaid | IA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com | ||
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IL, IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Luke'S Hospital of Duluth
Practice addresses (Care Compare)
1001 E Superior St
Suite 201
Duluth, MN 55802-2228
Phone (218) 249-7980
109 N 28TH St E
Superior, WI 54880-6548
Phone (715) 395-3900
Hospital & facility affiliations
- St Lukes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.143770 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Granite City Hospitalist Services LLC | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Mayo Clinic Health System-Lake City | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients |
Locations
517 N Main St
Anna, IL 62906
Phone (618) 833-2295
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
7892 Solutions Ctr
Chicago, IL 60677
29980 Network Pl
Chicago, IL 60673
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
1001 E Superior St
Ste L201
Duluth, MN 55802
Phone (218) 249-3057
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
1001 E Superior St
Ste 201
Duluth, MN 55802
Phone (218) 249-3057
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
2201 Lake Shore Dr E
Ashland, WI 54806
Phone (715) 685-6600
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
Networks
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- OH PPO
- KY PPO C-SNP
- KY PPO
Interoperability endpoints
- abdurrahman.hamadah.p188@direct.aac.nextgenshare.com
- abdurrahman.hamadah.p192@direct.aac.nextgenshare.com
- ahamadah733343@direct.emplifyhealth.org
- abdurrahman.hamadah.p193@direct.aac.nextgenshare.com
- abdurrahman.hamadah.p61@direct.aac.nextgenshare.com
- abdurrahman.hamadah.p71@direct.aac.nextgenshare.com
- abdurrahman.hamadah.p11@direct.aac.nextgenshare.com
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
- Hospitalist Physician
- Carbondale, IL
- NPI 1669926424
-
- General Acute Care Hospital
- Superior, WI
- NPI 1629017793
-
- Pediatrics Physician
- Duluth, MN
- NPI 1023057338
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Home Health Agency
- Little Falls, MN
- NPI 1952329047
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1013203561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E SUPERIOR ST STE L201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022207",
"telephone_number": "218-249-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E SUPERIOR ST STE L201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022207",
"telephone_number": "218-249-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMADAH",
"first_name": "ABDURRAHMAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MN",
"license": "55301",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036.143770",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.143770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01103375",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "1001 E Superior St Ste L201",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "558022207",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St Ste 200",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.