Rajab K Abukhadrah, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME74082 Issued in FL

Practice address

821 Oakley Seaver Dr
Clermont, FL 34711-1968

Phone

(352) 242-1665

Fax

(352) 243-1649

NPI assigned

Feb 22, 2006

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Lake Gastroenterology IncGroup PAC ID 9436168796, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

86.01 of 100Reported as group

Quality

80.12

Promoting interoperability

95

Improvement activities

40

Cost

72.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• FL PPO
• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJABCA
• FHIR API: https://fhir4.healow.com/fhir/r4/JJABCA/Endpoint/JJABCA
• Direct secure messaging: rajab.abukhadrah.1@3063.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Lake Gastroenterology Inc

  • Specialist
  • Clermont, FL
  • NPI 1467647685
  Medicare reassignment Care Compare group NPD
• Professional Gastroenterology & Nutrition Associates, P.a.

  dba Advanced Gastroenterology & Surgery Associates

  • Gastroenterology Physician
  • Leesburg, FL
  • NPI 1215974498
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• South Lake Hospital, Inc.

  dba Orlando Health South Lake Hospital

  • General Acute Care Hospital
  • Clermont, FL
  • NPI 1336221019
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1023083896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "352-242-1665",
            "fax_number": "352-243-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "352-242-1665",
            "fax_number": "352-243-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUKHADRAH",
        "first_name": "RAJAB",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256031300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ability Care Services, Inc.
• Ability Health Services
• Ability Health Services and Rehabilitation LP
• Patrick Abou Jaoude, MD
• Leland Mathew Abrams
• Abundant Care HHC
• Accu Lab, LLC
• Accurate Home Healthcare LLC
• Wanda Ivette Acevedo, APRN
• Achieve Behavior and Learning, LLC

• Specialist in Clermont, FL
• Providers in Clermont, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.

Verify at the official NPI Registry.