Ahmed Abu Taleb, M.D
Individual provider Active NPI Internal Medicine Physician · Newark, NJ
NPI 1194170399 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1194170399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 18158 (NH)
- Practice address
- 111 Central Ave
Newark, NJ 07102-1909 - Phone
- (973) 508-3215
- NPI assigned
- Apr 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hospital Medicine Services of Tennessee PC
Pain and Headache Center LLC
Practice addresses (Care Compare)
1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100
36275 Kenai Spur Hwy
Suite 1
Soldotna, AK 99669-7157
Phone (907) 420-0565
Hospital & facility affiliations
- Jackson Purchase Medical Center
- Central Peninsula General Hospital
- Baptist Health Paducah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AK, KY, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210209001512 | AK | Practitioner - Internal Medicine | 2961775713 | Reassigns benefits to 1 organization |
| I20220926002769 | KY | Practitioner - Internal Medicine | 2961775713 | Reassigns benefits to 1 organization |
| I20250116001506 | CA | Practitioner - Internal Medicine | 2961775713 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Group Services, PC | Current |
Accepting new patients | |
| Desert Group Services, PC | Current | Accepting new patients | |
| Hospitalist Group of Montebello Inc | Current |
Accepting new patients | |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current |
Accepting new patients |
| Pinelake Regional Hospital LLC | Past | Accepting new patients |
Locations
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 18158 | NH | Yes |
Addresses
Primary practice location
111 Central Ave
Newark, NJ 07102-1909
Mailing address
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (973) 953-1519
Other providers in Newark, NJ
- Saul Abreu
- Anna Abrimian
- Mohammad Abu Ghareibeh
- Amany Abu Hanoud
- Yazeed Fawwaz Abu Ruman
- Nancy Leroux Abud
- Abundant Hope Developmental Supports NJ LLC
- Mohammad Abushanab
- Odai Abushanab
- Islam K Abusido
All providers in Newark, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.