Individual provider Active NPI

Amir Yusef Abdulhay, DO

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1124689674
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT019325 Issued in PA
Practice address
230 N Broad St
Philadelphia, PA 19102-1121
Phone
(215) 762-7000
NPI assigned
Jun 25, 2019
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB11527200 NJ
Emergency Medicine Physician 207P00000X OT019325 PA Primary

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1121

Mailing address

1117 S 20TH St Apt B
Philadelphia, PA 19146-2836
Phone (610) 844-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, OH, AL, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220725000061 NJ Practitioner - Emergency Medicine 4486089224 Reassigns benefits to 1 organization
I20250930000192 OH Practitioner - Emergency Medicine 4486089224 Reassigns benefits to 3 organizations
I20260121000057 AL Practitioner - Emergency Medicine 4486089224 Reassigns benefits to 1 organization
I20260218003176 GA Practitioner - Emergency Medicine 4486089224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbiana Emergency Physicians LLCGroup PAC ID 9830437508, 10 clinicians
Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians

Practice addresses (Care Compare)

280 W Main St
Saint Clairsville, OH 43950-8816
Phone (740) 264-8000

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 355-6760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as individual
Quality
72.06
Improvement activities
40
Cost
72.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4294ALMDProfessional Counselor
284GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Peach State Emergency Physicians LLC Emergency Medicine CurrentSince Jan 6, 2026 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC Emergency Medicine CurrentSince Feb 10, 2026 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Jul 18, 2022 Accepting new patients
Columbiana Emergency Physicians LLC Emergency Medicine CurrentSince Oct 13, 2025 Accepting new patients
Alabama Physicians Group LLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Trinity Hospital Twin City CurrentSince Sep 25, 2025 Accepting new patients
Trinity Hospital Twin City CurrentSince Sep 25, 2025 Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

819 N 1st St
Dennison, OH 44621
Phone (740) 922-0000

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

280 W Main St
Saint Clairsville, OH 43950
Phone (740) 461-6659

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1124689674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S 20TH ST APT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462836",
            "telephone_number": "610-844-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULHAY",
        "first_name": "AMIR",
        "middle_name": "YUSEF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB11527200",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT019325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.