Active NPI
Ahmed Abdelbaki, M.D.
- Vascular & Interventional Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 2020013946
- Practice address
- 3635 Vista Ave
Saint Louis, MO 63110-2539 - Phone
- (314) 577-8000
- NPI assigned
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 2020013946 | MO | Primary |
Addresses
Primary practice location
3635 Vista Ave
Saint Louis, MO 63110-2539
Mailing address
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 577-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240419001974 | NY | Practitioner - Interventional Radiology | 1759625833 | Reassigns benefits to 1 organization |
| I20240611000063 | PA | Practitioner - Interventional Radiology | 1759625833 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Hospital & facility affiliations
- Robert Packer Hospital
- Corning Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.13 of 100
- Quality
- 77.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- aabdelbaki51650@direct-guthrie.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
-
- Durable Medical Equipment & Medical Supplies
- Waverly, NY
- NPI 1578755682
-
- Diagnostic Radiology Physician
- Sayre, PA
- NPI 1174575393
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": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590278400000",
"number": "1396152005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-577-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-577-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELBAKI",
"first_name": "AHMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2020-05-24",
"certification_date": "2020-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MO",
"license": "2020013946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.