Individual provider Active NPI

Ayman Abdou, M.D.

  • Family Medicine Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1346352374
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08106900 Issued in NJ
Practice address
2951 NW 49TH Ave
Suite 104 C
Lauderdale Lakes, FL 33313-1600
Phone
(954) 484-9292
Fax
(954) 484-9242
NPI assigned
Aug 31, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08106900 NJ Primary

Addresses

Primary practice location

2951 NW 49TH Ave
Suite 104 C
Lauderdale Lakes, FL 33313-1600

Mailing address

2951 NW 49TH Ave
Suite 104 C
Lauderdale Lakes, FL 33313-1600
Phone (954) 484-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081208000685 FL Practitioner - Family Practice 9638260300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2951 NW 49TH Ave
Lauderdale Lakes, FL 33313-1638
Phone (954) 484-9292

2951 NW 49TH Ave
Suite 104 C
Lauderdale Lakes, FL 33313-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08106900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Care LLC CurrentSince Feb 9, 2009 Accepting new patients

Locations

2951 NW 49th Ave
Ste 104C
Lauderdale Lakes, FL 33313
Phone (954) 484-9292

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFJBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFJBDD/Endpoint/JFJBDD

Organizations & group practices 1

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 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1346352374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE",
            "address_2": "SUITE 104 C",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131600",
            "telephone_number": "954-484-9292",
            "fax_number": "954-484-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE",
            "address_2": "SUITE 104 C",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131600",
            "telephone_number": "954-484-9292",
            "fax_number": "954-484-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOU",
        "first_name": "AYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08106900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.