Individual provider Active NPI

Abid Kagalwalla, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1235334871
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9077 Issued in TX
Practice address
1500 E Medical Center Dr
B1-380 TC, SPC 5305
Ann Arbor, MI 48109-0999
Phone
(734) 763-7919
Fax
(734) 763-9298
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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 CDR.0006591 CO
Emergency Medicine Physician 207P00000X N9077 TX Primary

Addresses

Primary practice location

1500 E Medical Center Dr
B1-380 TC, SPC 5305
Ann Arbor, MI 48109-0999

Mailing address

2105 E 21St St
Austin, TX 78722-2415
Phone (630) 362-2604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000594 TX Practitioner - Emergency Medicine 8820275688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

3201 Hwy 71 E
St. David'S Bastrop
Bastrop, TX 78602-5126
Phone (512) 308-5900

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9077TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Mar 29, 2018 Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3201 Highway 71 E
Bastrop, TX 78602
Phone (512) 321-8200

15610 S Ih 35
Buda, TX 78610
Phone (512) 447-2211

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1235334871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E 21ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787222415",
            "telephone_number": "630-362-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "B1-380 TC, SPC 5305",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090999",
            "telephone_number": "734-763-7919",
            "fax_number": "734-763-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGALWALLA",
        "first_name": "ABID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CDR.0006591",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.