Abdilatif A Abdulhakim, MD
Individual provider Active NPI Anesthesiology Physician · Lynchburg, VA
NPI 1104405307 · NPPES record last updated Nov 25, 2025
Key facts
- NPI
- 1104405307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 0101287275 (VA)
- Practice address
- 1901 Tate Springs Rd
Lynchburg, VA 24501-1109 - Phone
- (434) 200-1143
- Fax
- (434) 200-7070
- NPI assigned
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Medical College of Georgia School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centra Medical Group LLC
Practice addresses (Care Compare)
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033
Hospital & facility affiliations
- Centra Health - Lynchburg Gen Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251203001274 | VA | Practitioner - Anesthesiology | 5092116590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101287275 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Current |
Accepting new patients |
Locations
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116037154 | VA | |
| Anesthesiology Physician | 207L00000X | 0101287275 | VA | Yes |
Addresses
Primary practice location
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Mailing address
4004 W Broad St Apt 305
Richmond, VA 23230-3981
Phone (678) 404-0730
Other practice location 1
665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303
Phone (678) 312-1000
Other names
- Abdilatif Abdulhakim
Other providers in Lynchburg, VA
- Laura Elise Aasen
- ABA Plus, LLC
- Betty Bennin Abaidoo
- Gina Maria Abbitt
- Noor Mary Abdo
- Nathan Abellano
- Syed Ashraf Abid
- Able Arms
- Able Care LLC
- Abordale Dialysis, LLC
All providers in Lynchburg, VA · Anesthesiology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.