Active NPI
Munazzah Abdullah, MD
- Adult Medicine Physician
- Prattville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 46975
- Practice address
- 124 S Memorial Dr
Prattville, AL 36067-3619 - Phone
- (334) 365-0651
- NPI assigned
- Jul 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 46975 | AL | Primary |
Addresses
Primary practice location
124 S Memorial Dr
Prattville, AL 36067-3619
Mailing address
124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230921000212 | AL | Practitioner - Hospitalist | 2062866320 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Physician Services - Southeast Professional Corporation
Practice addresses (Care Compare)
400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330
Hospital & facility affiliations
- Amedisys Home Health of Montgomery
- Baptist Hospice
- Prattville Baptist Hospital
- Baptist Medical Center South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| The Health Care Authority for Baptist Health an Affiliate of Uabhs | Past | Accepting new patients |
Locations
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Montgomery, AL
- NPI 1174581474
-
- Community Based Hospice Care Agency
- Montgomery, AL
- NPI 1578657367
Hospice
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
Hospital
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1154949543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 S MEMORIAL DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360673619",
"telephone_number": "334-365-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S MEMORIAL DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360673619",
"telephone_number": "334-365-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAH",
"first_name": "MUNAZZAH",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2023-07-28",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AL",
"license": "46975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.