Individual provider Active NPI

Ahmad Abdelaal, MD

  • Surgery Physician
  • Bronx, NY
National Provider Identifier
1255880738
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.136810 Issued in OH
Practice address
1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone
(718) 696-2583
NPI assigned
Sep 26, 2016
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35.136810 OH Primary
Specialist 174400000X 35.136810 OH
Transplant Surgery Physician 204F00000X MD458391 PA
General Acute Care Hospital 282N00000X 35.136810 OH
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1197

Mailing address

4234 Talwood LN
Toledo, OH 43606-1062
Phone (901) 340-2004

Other practice location 1

1015 Chestnut St Ste 620
Philadelphia, PA 19107-4306
Phone (215) 955-6864

Other practice location 2

4234 Talwood Ln
Toledo, OH 43606-1062
Phone (419) 973-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190816001712 OH Practitioner - General Surgery 0244519973 Reassigns benefits to 1 organization
I20200214000885 TX Practitioner - General Surgery 0244519973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

725 S Shoop Ave
Wauseon, OH 43567-1701
Phone (419) 335-2015

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux58
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.136810OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital Multi-Specialty CurrentSince Jan 29, 2020 Accepting new patients
FCHC Medical Care, LLC Multi-Specialty CurrentSince Apr 1, 2021 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Multi-Specialty CurrentSince Jan 29, 2020 Accepting new patients

Locations

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: ahmad.abdelaal@fultoncounty.medicity.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1255880738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 TALWOOD LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061062",
            "telephone_number": "901-340-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611197",
            "telephone_number": "718-696-2583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Chestnut St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074306",
            "country_code": "US",
            "telephone_number": "215-955-6864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4234 Talwood Ln",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061062",
            "country_code": "US",
            "telephone_number": "419-973-3701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELAAL",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.136810",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35.136810",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "PA",
            "license": "MD458391",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "35.136810",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.