Individual provider Active NPI

Najib M Allabadi, MD

  • Surgery Physician
  • Bridgeport, CT
National Provider Identifier
1538692256
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A166147 Issued in CA
Practice address
267 Grant St
Bridgeport, CT 06610-2805
Phone
(203) 384-3998
Fax
(203) 384-4598
NPI assigned
Apr 10, 2017
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 64057 CT
Surgery Physician 208600000X A166147 CA Primary

Addresses

Primary practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

11338 N Garden Sage Ave
Fresno, CA 93730-8842
Phone (832) 330-9483

Other practice location 1

6410 Fannin St
Suite 1400
Houston, TX 77030-3000
Phone (832) 325-7125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201001001229 CA Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 5890114417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians

Practice addresses (Care Compare)

1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070

Merit-based Incentive Payment System (MIPS)

Final score
14.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
48.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue577
Removal of skin lesions44
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166147CAMDSurgery Physician
64057CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc CurrentSince Feb 1, 2021 Accepting new patients
Vohra Wound Physicians of Ca, P.C. CurrentSince Jul 27, 2020 Accepting new patients
Crescent Wound Care Inc CurrentSince Sep 11, 2023 Accepting new patients
Crescent Wound Care Inc CurrentSince Sep 11, 2023 Accepting new patients
Crescent Wound Care Inc Surgery Past Accepting new patients

Locations

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

361 E Grangeville Blvd
Hanford, CA 93230
Phone (559) 582-9221

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

4444 W Meadow Ave
Visalia, CA 93277
Phone (559) 251-8463

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1538692256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11338 N GARDEN SAGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937308842",
            "telephone_number": "832-330-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3998",
            "fax_number": "203-384-4598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303000",
            "country_code": "US",
            "telephone_number": "832-325-7125",
            "fax_number": "713-512-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLABADI",
        "first_name": "NAJIB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "64057",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A166147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.