Individual provider Active NPI

Houssam Abdul-Al, M.D.

  • Internal Medicine Physician
  • Danville, PA
National Provider Identifier
1316916208
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD049769L Issued in PA
Practice address
9 Stearns LN
Danville, PA 17821-8850
Phone
(570) 271-6784
Fax
(570) 271-5268
NPI assigned
Mar 14, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD049769L PA
Internal Medicine Physician 207R00000X MD049769L PA Primary

Addresses

Primary practice location

9 Stearns LN
Danville, PA 17821-8850

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address habdulal59162@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000794 PA Practitioner - Internal MedicinePractitioner - Family Practice 5193800860 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Dec 27, 2017 Accepting new patients
Geisinger Clinic CurrentSince Dec 27, 2017 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

9 Stearns Ln
Danville, PA 17821
Phone (570) 271-6516

119 Nevada Dr
Kulpmont, PA 17834
Phone (570) 373-1250

155 S Arch St
Ste B
Milton, PA 17847
Phone (570) 742-2655

10990 State Route 61
Mount Carmel, PA 17851
Phone (570) 339-4513

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

Interoperability endpoints

  • Direct secure messaging: houssam.abdul@direct.ghp.hie.keyhie.org
  • Direct secure messaging: houssam.abdulal@upmcdirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1316916208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 STEARNS LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218850",
            "telephone_number": "570-271-6784",
            "fax_number": "570-271-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-AL",
        "first_name": "HOUSSAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD049769L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD049769L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "habdulal59162@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9 Stearns Ln",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178218850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.