Active NPI
Joseph Angelo Abdalla, DO
- Internal Medicine Physician
- Rogers, AR
National Provider Identifier
1114619954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-20502
- Practice address
- 2710 S Rife Medical LN
Rogers, AR 72758-1452 - Phone
- (479) 338-8000
- Fax
- (479) 986-3448
- NPI assigned
- May 22, 2023
- Last updated
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | E-20502 | AR | Primary |
Addresses
Primary practice location
2710 S Rife Medical LN
Rogers, AR 72758-1452
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (479) 338-8000
Other practice location 1
South Pointe Hospital
20000 Harvard Rd
Warrensville Heights, OH 44122
Phone (216) 491-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Northwest Arkansas Communities
Practice addresses (Care Compare)
2710 S Rife Medical LN
Rogers, AR 72758-1452
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-20502 | AR | MD | Internal Medicine Physician |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1114619954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084",
"telephone_number": "479-338-8000",
"fax_number": "479-986-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 S RIFE MEDICAL LN",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-8000",
"fax_number": "479-986-3448"
}
],
"practiceLocations": [
{
"address_1": "South Pointe Hospital",
"address_2": "20000 Harvard Rd",
"address_purpose": "LOCATION",
"city": "Warrensville Heights",
"state": "OH",
"postal_code": "44122",
"country_code": "US",
"telephone_number": "216-491-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDALLA",
"first_name": "JOSEPH",
"middle_name": "ANGELO",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-20502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.