Ayman Abdou, M.D.
Individual provider Active NPI Family Medicine Physician · Lauderdale Lakes, FL
NPI 1346352374 · NPPES record last updated Jun 14, 2010
Key facts
- NPI
- 1346352374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MA08106900 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
- Catholic Home Health Services of Broward, Inc.
- North Shore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20081208000685 | FL | Practitioner - Family Practice | 9638260300 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08106900 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Care LLC | Current |
Accepting new patients |
Locations
2951 NW 49th Ave
Ste 104C
Lauderdale Lakes, FL 33313
Phone (954) 484-9292
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFJBDD
- https://fhir4.healow.com/fhir/r4/JFJBDD/Endpoint/JFJBDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA08106900 | NJ | Yes |
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
Other providers in Lauderdale Lakes, FL
- A Loving Life Care, LLC
- A&L Medical Equipment Inc
- Ab Med Florida Corp
- ABA Cares of Florida LLC
- Randa Yazmin Abdelaziz
- Access Family Health Care LLC
- Access Medical Group of Lauderdale Lakes, LLC
- Acomed Health Care Center
- Acosta Dental Services of Lauderhill P.a
- Acusight PA
All providers in Lauderdale Lakes, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2010. 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.