Elia Charbel Abboud, M.D.
Individual provider Active NPI Surgery Physician · Roswell, NM
NPI 1316380751 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1316380751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD2021-0248 (NM)
- Practice address
- 601 W Country Club Rd Ste 201
Roswell, NM 88201-5225 - Phone
- (575) 627-0535
- Fax
- (575) 627-5590
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Las Cruces Physician Practices, LLC
Practice addresses (Care Compare)
2540 S Telshor Blvd
Las Cruces, NM 88011-5130
Phone (575) 556-1892
Hospital & facility affiliations
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 53 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 |
|---|---|---|---|---|
| I20210817000880 | NM | Practitioner - General Surgery |
5890023097 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2021-0248 | NM | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current |
Accepting new patients | |
| Las Cruces Physician Practices, LLC | Past | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past |
Accepting new patients | |
| PHC-Las Cruces Inc | Past | Accepting new patients |
Locations
4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755
4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806
2540 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-7982
Interoperability endpoints
- elia.abboud.1@19849.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | MD2021-0248 | NM | |
| Surgery Physician | 208600000X | MD2021-0248 | NM | Yes |
Addresses
Primary practice location
601 W Country Club Rd Ste 201
Roswell, NM 88201-5225
Mailing address
601 W Country Club Rd Ste 201
Roswell, NM 88201-5225
Phone (575) 627-0535
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elia.abboud.1@1610.direct.athenahealth.com |
Other providers in Roswell, NM
- 110 DME Store LLC
- Betty Naa Awula Abbey
- Mekdess A Abebe
- Zain Ul Abideen
- Absolute Home Health
- Kanana Mohammad Aburayyan
- Acacia Family Care LLC
All providers in Roswell, NM · Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. 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.