Active NPI
Syed Ali Abbas, MD
- Psychiatry Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 58245
- Practice address
- 401 E Chestnut St Unit 600
Louisville, KY 40202-5705 - Phone
- (502) 588-4865
- NPI assigned
- May 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TP479 | KY | |
| Psychiatry Physician | 2084P0800X | R5411 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 58245 | KY | Primary |
Addresses
Primary practice location
401 E Chestnut St Unit 600
Louisville, KY 40202-5705
Mailing address
5514 Antle Dr
Louisville, KY 40229-2955
Phone (716) 930-3412
Other practice location 1
2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570
Phone (270) 417-7980
Other practice location 2
908 Wallace Ave Ste 201
Leitchfield, KY 42754-1495
Phone (270) 230-0212
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sabbas121194@direct.owensborohealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2211 Mayfair Dr
Suite 409
Owensboro, KY 42301-4570
Phone (270) 417-7980
Hospital & facility affiliations
- Owensboro Health Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58245 | KY | MD | Psychiatry Physician |
| R5411 | KY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Psychiatry | Current | Accepting new patients |
Locations
908 Wallace Ave
Ste 201
Leitchfield, KY 42754
Phone (270) 230-0212
401 E Chestnut St
Unit 600
Louisville, KY 40202
Phone (502) 588-4425
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2211 Mayfair Dr
Ste 409
Owensboro, KY 42301
Phone (270) 417-7980
Organizations & group practices 4
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.
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Psychiatric Hospital
- Lexington, KY
- NPI 1790816395
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Psychiatry Physician
- Owensboro, KY
- NPI 1013353101
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1205458247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 ANTLE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292955",
"telephone_number": "716-930-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST UNIT 600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025705",
"telephone_number": "502-588-4865"
}
],
"practiceLocations": [
{
"address_1": "2211 Mayfair Dr Ste 409",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423014570",
"country_code": "US",
"telephone_number": "270-417-7980",
"fax_number": "270-417-7989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "908 Wallace Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Leitchfield",
"state": "KY",
"postal_code": "427541495",
"country_code": "US",
"telephone_number": "270-230-0212",
"fax_number": "270-230-0104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBAS",
"first_name": "SYED",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-13",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "TP479",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "R5411",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "58245",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sabbas121194@direct.owensborohealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sabbas121194@direct.owensborohealth.org",
"address_1": "2211 Mayfair Dr Ste 409",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423014570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.