Individual provider Active NPI

Abdullahi Jama, MD

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1154880920
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-17490 Issued in AR
Practice address
697 Thomas LN
Columbus, OH 43214-3931
Phone
(614) 566-5414
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD483634 PA
Diagnostic Radiology Physician 2085R0202X 25MA12156500 NJ
Diagnostic Radiology Physician 2085R0202X E-17490 AR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

697 Thomas LN
Columbus, OH 43214-3931

Mailing address

697 Thomas LN
Columbus, OH 43214-3931
Phone (614) 566-5414

Other practice location 1

4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 2

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Other practice location 3

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6761

Other practice location 4

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 935-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AR, NJ, CA, PA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20240516003821 OH Practitioner - Diagnostic Radiology 3971837105 Reassigns benefits to 3 organizations
I20240605002985 AR Practitioner - Diagnostic Radiology 3971837105 Reassigns benefits to 3 organizations
I20241210000189 NJ Practitioner - Diagnostic Radiology 3971837105 Reassigns benefits to 1 organization
I20241217000051 CA Practitioner - Diagnostic Radiology 3971837105 Reassigns benefits to 2 organizations
I20250409000470 PA Practitioner - Diagnostic Radiology 3971837105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Seven Springs Way
Brentwood, TN 37027-5098

3416 Valley Brook Rd
Nashville, TN 37215-2021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Jan 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 1, 2024 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Feb 6, 2025 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Feb 15, 2025 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Feb 15, 2025 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jan 15, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Nov 7, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince Jan 15, 2025 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jan 15, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Feb 6, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Peninsula Radiological Associates Limited Diagnostic Radiology CurrentSince Jan 4, 2025 Accepting new patients

Locations

1 Childrens Way
Ste 653
Little Rock, AR 72202

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

155 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 223-8930

134 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 478-2111

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1700 Old Gatesburg Rd
Ste 100
State College, PA 16803
Phone (814) 237-3360

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1154880920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 THOMAS LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143931",
            "telephone_number": "614-566-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 THOMAS LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143931",
            "telephone_number": "614-566-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 556",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6761",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMA",
        "first_name": "ABDULLAHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD483634",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12156500",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-17490",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.