Peter Abdelmessih
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Birmingham, AL
NPI 1548064041 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1548064041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 625 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-2490
- NPI assigned
- Apr 3, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250723000340 | AL | Order and Referring Only - Internal Medicine |
0749796167 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
625 19TH St S
Birmingham, AL 35233-1900
Mailing address
625 19TH St S
Birmingham, AL 35233-1900
Other providers in Birmingham, AL
- Tarek Abdalla
- Rayan Abdallah
- Abdelrahman Mohamed Safwat Abdelazim
- Ayah Abdelaziz
- Thaer Saqer Mustafa Abdelfattah
- Ahmed Abdelkarem Aly Ahmed Abdelrehim
- Ayat Abdelsalam
- Saad Abdul Kareem
- Hussein D Abdul-Latif
- Basma Abdulhadi
All providers in Birmingham, AL · Student in an Organized Health Care Education/Training Program in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.