Hisham Abdou, MD
Individual provider Active NPI Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Rochester, MN
NPI 1245090968 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1245090968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- License
- 80235 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Mar 20, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Yale University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2512
Hospital & facility affiliations
- Mayo Clinic Hospital Rochester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20250731001911 | MN | Practitioner - Otolaryngology | 8022457050 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34186 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current |
Accepting new patients | |
| Mayo Clinic | Current |
Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 34186 | MN | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 80235 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | habdou1961919@ehrdirect.mayoclinicmsg.org |
Other providers in Rochester, MN
- Falis Ahmed Abdi
- Halimo Ahmed Abdi
- Deko Abdinoor
- Sumaya Dee Qou Abdirahman
- Ali K Abdolall
- Asim Abdulhamid
- Hayder Abduljabbar
- Mahad Burhan Abdullahi
- Miraj Abdullahi
- Sabriin Mahammed Abdullahi
All providers in Rochester, MN · Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. 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.