Individual provider Active NPI

Ghussai Abd El Gadir

  • Pediatric Infectious Diseases Physician
  • Chattanooga, TN
National Provider Identifier
1124400320
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
63307 Issued in TN
Practice address
910 Blackford St FL 5
Chattanooga, TN 37403-1405
Phone
(423) 269-3443
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 63307 TN Primary

Addresses

Primary practice location

910 Blackford St FL 5
Chattanooga, TN 37403-1405

Mailing address

910 Blackford St BLDG 5TH
Chattanooga, TN 37403-1405
Phone (423) 269-3443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ghussai.abdelgadir@erlanger.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20220211001463 TN Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 4385037407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority Current Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2022 Accepting new patients

Locations

910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044

910 Blackford St
Fl 5
Chattanooga, TN 37403
Phone (423) 778-5255

910 Blackford St
Bldg 5TH
Chattanooga, TN 37403

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

101 Keith St SW
Cleveland, TN 37311
Phone (423) 778-9671

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1124400320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BLACKFORD ST BLDG 5TH",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031405",
            "telephone_number": "423-269-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BLACKFORD ST FL 5",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031405",
            "telephone_number": "423-269-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABD EL GADIR",
        "first_name": "GHUSSAI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TN",
            "license": "63307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghussai.abdelgadir@erlanger.org",
            "affiliation": "N",
            "address_1": "910 Blackford St Fl 5",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374031405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.