NPIMap

Individual provider Active NPI

Abdallah Kabbara, MD

  • Pain Medicine Physician
  • Westlake, OH
National Provider Identifier
1275526428
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.081154 Issued in OH
Practice address
29000 Center Ridge Rd
1St FL - Pain Center
Westlake, OH 44145-5293
Phone
(440) 827-5058
Fax
(440) 827-5478
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.081154 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 35081154 OH
Pain Medicine Physician 208VP0000X 35.081154 OH Primary

Addresses

Primary practice location

29000 Center Ridge Rd
1St FL - Pain Center
Westlake, OH 44145-5293

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 827-5058

Other identifiers 3

IdentifierTypeStateIssuer
P00603623OtherOHMEDICARE RAILROAD
0583328OtherOHBCMH
2465961MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abdallahkabbara@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000871 OH Practitioner - Pain ManagementPractitioner - Anesthesiology 2062401524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

29101 Health Campus Dr
Suite 250
Westlake, OH 44145-5277
Phone (440) 827-5483

Hospital & facility affiliations

  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081154OHMDPain Medicine (Anesthesiology) Physician
35.081154OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Feb 1, 2011 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Feb 1, 2011 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology CurrentSince Jan 8, 2008 Accepting new patients
University Primary Care Practices Past Accepting new patients
Northcoast Pain Management Associates, Inc Pain Medicine Past Accepting new patients
Alternative Body Connections, LLC Past Accepting new patients
Northcoast Anesthesia Providers Past Accepting new patients

Locations

50 Blaine Ave
#2300M
Bedford, OH 44146
Phone (440) 786-9885

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

24693 Lorain Rd
North Olmsted, OH 44070
Phone (440) 777-3343

29101 Health Campus Dr
Bldg 2
Westlake, OH 44145
Phone (440) 827-5390

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

29000 Center Ridge Rd
Fl 1
Westlake, OH 44145
Phone (440) 827-5058

29101 Health Campus Dr
Ste 250
Westlake, OH 44145
Phone (440) 827-5483

Interoperability endpoints

  • Direct secure messaging: akabbara32926@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 8

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1275526428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-827-5058",
            "fax_number": "440-827-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 CENTER RIDGE RD",
            "address_2": "1ST FL - PAIN CENTER",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455293",
            "telephone_number": "440-827-5058",
            "fax_number": "440-827-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBARA",
        "first_name": "ABDALLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.081154",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35081154",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.081154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00603623",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0583328",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2465961",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abdallahkabbara@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "29000 Center Ridge Rd",
            "address_2": "1st Fl - Pain Center",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441455293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.