Kelifa Kedir Abdo Sr.

Primary specialty

DriverTaxonomy code 172A00000X

License

36141020 Issued in TX

Practice address

18112 Moreto Loop
Pflugerville, TX 78660-5333

Phone

(702) 215-1899

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peace Trans

  • Non-emergency Medical Transport (VAN)
  • Pflugerville, TX
  • NPI 1871176610
  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1396338513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18112 MORETO LOOP",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605333",
            "telephone_number": "702-215-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18112 MORETO LOOP",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605333",
            "telephone_number": "702-215-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDO",
        "first_name": "KELIFA",
        "middle_name": "KEDIR",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "2020700079",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "36141020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Family of New Beginnings Incorporated
• Courtney Abbott
• Erin Rachael Abbott
• Jordan E Abbott, MD
• Ghada H Abdallah, O.D.
• Ahmed Gwad Abdulhussein
• Sarah Abdulrahman
• Mark Abou-Rached
• Merlin Joice Abraham, MD
• Absolute Natural Health Center LLC

• Driver in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.