Active NPI
Mohammad Khalouck Abdrabbo, MD
- Gastroenterology Physician
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35.143765
- Practice address
- 10600 Montgomery Rd
Montgomery, OH 45242-4463 - Phone
- (513) 853-9250
- NPI assigned
- Aug 10, 2005
- Last updated
- Apr 25, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301055436 | MI | |
| Gastroenterology Physician | 207RG0100X | 35.143765 | OH | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301055436 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Trihealth H LLC | Gastroenterology | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| HPCN | Past | Accepting new patients | |
| HPCN | Gastroenterology | Past | Accepting new patients |
| HPCN | 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) 794-2600
8040 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 346-5065
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
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
Organizations & group practices 11
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.
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Rice Lake Home Health
- Home Health Agency
- Rice Lake, WI
- NPI 1326139049
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Marshfield Medical Center Ladysmith
- Medicare Defined Swing Bed Hospital Unit
- Ladysmith, WI
- NPI 1346716263
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1548322183
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1104828201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 MONTGOMERY RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424463",
"telephone_number": "513-853-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MONTGOMERY RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424463",
"telephone_number": "513-853-9250"
}
],
"practiceLocations": [
{
"address_1": "1675 Leahy St",
"address_2": "SUIE 324B",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494425500",
"country_code": "US",
"telephone_number": "231-726-5075",
"fax_number": "231-728-1685",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Craig Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016149",
"country_code": "US",
"telephone_number": "715-848-4965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDRABBO",
"first_name": "MOHAMMAD",
"middle_name": "KHALOUCK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301055436",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.143765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.