Individual provider Active NPI

Yousef Mueen Abdulla, MD

  • Emergency Medicine Physician
  • Kaplan, LA
National Provider Identifier
1376122507
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
341134 Issued in LA
Practice address
1310 W 7TH St
Kaplan, LA 70548-2910
Phone
(337) 643-8300
Fax
(337) 643-5309
NPI assigned
Apr 5, 2021
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 341134 LA Primary

Addresses

Primary practice location

1310 W 7TH St
Kaplan, LA 70548-2910

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

22101 Moross Rd Ste 50
Detroit, MI 48236-2148
Phone (313) 343-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240904000198 LA Practitioner - Emergency Medicine 5799186599 Reassigns benefits to 2 organizations
I20250724000592 IL Practitioner - Emergency Medicine 5799186599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oakland Univ, William Beaumont School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Emergency Physicians LLCGroup PAC ID 6204294119, 35 clinicians

Practice addresses (Care Compare)

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.13
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
84.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341134LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vermilion Emergency Group LLC Emergency Medicine CurrentSince Jul 20, 2024 Accepting new patients
Red Stick Emergency Group LLC Emergency Medicine CurrentSince Aug 4, 2024 Accepting new patients
Riverside Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

200 Corporate Blvd
Lafayette, LA 70508

14105 Highway 73
#100
Prairieville, LA 70769
Phone (225) 402-2600

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.

Hospital & facility affiliations 1

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1376122507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W 7TH ST",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482910",
            "telephone_number": "337-643-8300",
            "fax_number": "337-643-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22101 Moross Rd Ste 50",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362148",
            "country_code": "US",
            "telephone_number": "313-343-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLA",
        "first_name": "YOUSEF",
        "middle_name": "MUEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "341134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaplan, LA

Sources for this page

Verify at the official NPI Registry.