Individual provider Active NPI

David Abdun-Nur, M.D.

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1396737847
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18589 Issued in OR
Practice address
741 NE 6TH St
Grants Pass, OR 97526-1556
Phone
(541) 471-2701
Fax
(541) 471-1166
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 MD18589 OR Primary

Addresses

Primary practice location

741 NE 6TH St
Grants Pass, OR 97526-1556

Mailing address

1701 NE 7TH St
Grants Pass, OR 97526-1319
Phone (541) 471-2701

Other identifiers 1

IdentifierTypeStateIssuer
060173MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040512000172 OR Practitioner - Family Practice 5092704197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Medical Group LLCGroup PAC ID 6507269115, 25 clinicians

Practice addresses (Care Compare)

741 NE 6TH St
Grants Pass, OR 97526-1556
Phone (541) 471-2701

Hospital & facility affiliations

  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18589ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Medical Group LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Northwest Family Practice LLC Family Medicine Past Accepting new patients
Mark Allen Rondeau Family Medicine Past Accepting new patients

Locations

341 E Cottage Park Dr
Ste 1
Cave Junction, OR 97523
Phone (541) 450-3625

741 NE 6th St
Grants Pass, OR 97526
Phone (541) 471-2701

124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859

1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106

Interoperability endpoints

  • Direct secure messaging: davidabdun-nur@mvfp.allscriptsdirect.net
  • Direct secure messaging: davidabdunnur@acmgllc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1396737847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261319",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261556",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUN-NUR",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060173",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.