Hossam Abdalla, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D0084840 Issued in MD

Practice address

6934 Aviation Blvd Ste F
Glen Burnie, MD 21061-2593

Phone

(410) 760-3588

Fax

(410) 760-3604

NPI assigned

Nov 26, 2014

Sex

Male

Sole proprietor

No

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.

• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1356390108

  MD, Nephrology

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dva Healthcare of Maryland LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baltimore, MD
  • NPI 1427018944

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare of Maryland LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pasadena, MD
  • NPI 1518927391

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baltimore, MD
  • NPI 1972563849

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidney Home Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glen Burnie, MD
  • NPI 1144597196

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidney Home Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Windsor Mill, MD
  • NPI 1457500894

  Dialysis facility

  Care Compare affiliation Name & address match
• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696

  Hospital

  Care Compare affiliation
• Harbor Hospital, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1720175623

  Hospital

  Care Compare affiliation
• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993

  Hospital

  Care Compare affiliation

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Nephrology Associates PA 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Pasadena Dialysis Dialysis facility, Pasadena, MD, CCN 212613
• DaVita Glen Burnie Home Training Dialysis facility, Glen Burnie, MD, CCN 212674
• DaVita Kidney Home Center PD Dialysis facility, Windsor Mill, MD, CCN 212659
• DaVita Catonsville North Dialysis Dialysis facility, Baltimore, MD, CCN 212634
• DaVita Falls Road Dialysis Dialysis facility, Baltimore, MD, CCN 212588
• University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
• Medstar Harbor Hospital Hospital, Baltimore, MD, CCN 210034
• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Medicare fee-for-service enrollment

Enrolled in MD

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: habdalla7856@nychhc.direct-ci.com
• Direct secure messaging: habdalla534565@direct.umm.edu
• Direct secure messaging: hossamabdalla@mana.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2023.

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1285031765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "443-575-4880",
            "fax_number": "443-575-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD STE F",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "410-760-3588",
            "fax_number": "410-760-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Crossroads Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175533",
            "country_code": "US",
            "telephone_number": "410-602-7792",
            "fax_number": "410-602-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "HOSSAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0084840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134175800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Rose in Safe Haven Corporation
• A.D.H. Entertprises, LLC
• A&a Residential Inc.
• Aa County Department of Health
• Archil Abashidze, MD
• Alaaeldin Yehia Abdelrahman
• Steven J Abert, MD
• Abloom Health Services
• Grace M. Abraham Lewis
• Abramson & Kneussl PA

• All providers in Glen Burnie, MD
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.

Verify at the official NPI Registry.