Mohammad Khalouck Abdrabbo, MD
Individual provider Active NPI Gastroenterology Physician · Montgomery, OH
NPI 1104828201 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1104828201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 35.143765 (OH)
- Practice address
- 10600 Montgomery Rd
Montgomery, OH 45242-4463 - Phone
- (513) 853-9250
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trihealth H LLC
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400
10506 A Montgomery Rd
Montgomery, OH 45242-4402
10600 Montgomery Rd
Suite 300
Montgomery, OH 45242-4464
Phone (513) 853-9250
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
Hospital & facility affiliations
- Good Samaritan Hospital
- Bethesda North
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 110 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 70 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, OH
- 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 |
|---|---|---|---|---|
| I20080724000386 | WI | Practitioner - Gastroenterology | 9032145644 | Reassigns benefits to 3 organizations |
| I20220406002854 | OH | Practitioner - Gastroenterology | 9032145644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301055436 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Trihealth H LLC | Gastroenterology | Current |
Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| MCHS Hospitals, Inc. | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients | |
| HPCN | Past | Accepting new patients | |
| HPCN | Past | Accepting new patients | |
| HPCN | Gastroenterology | Past | Accepting new patients |
| HPCN | Past | Accepting new patients |
Locations
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
10600 Montgomery Rd
Montgomery, OH 45242
Phone (513) 236-2697
10600 Montgomery Rd
Ste 300
Montgomery, OH 45242
Phone (513) 984-2510
8040 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 346-5065
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1020 Lakeshore Dr
Rice Lake, WI 54868
Phone (715) 236-8100
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- mabdrabbo355646@direct.trihealth.com
- mohammad.abdrabbo@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301055436 | MI | |
| Gastroenterology Physician | 207RG0100X | 35.143765 | OH | Yes |
Addresses
Primary practice location
10600 Montgomery Rd
Montgomery, OH 45242-4463
Mailing address
10600 Montgomery Rd
Montgomery, OH 45242-4463
Phone (513) 853-9250
Other practice location 1
1675 Leahy St
Suie 324B
Muskegon, MI 49442-5500
Phone (231) 726-5075
Other practice location 2
2116 Craig Rd
Eau Claire, WI 54701-6149
Phone (715) 848-4965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4744440 | Medicaid | MI | |
| 300207909 | Other | MI | TAX ID |
Other providers in Montgomery, OH
- A Best Home Care Skilled Incorporated
- Charles J Aardema
- Cynthia Kay Aardema
- Leah Kay Abate
- Christine Marie Abner
- Amr Albadrawy Ali Aboelnasr
- Alizabeth Besondy Quillen Adams
- Adwoa Saka Addo Asiamah
- Robyn Levenson Aguirre
All providers in Montgomery, OH · Gastroenterology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. 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.