Mubarak Abdalla
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Darby, PA
NPI 1568045425 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1568045425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1500 Lansdowne Ave
Darby, PA 19023-1200 - Phone
- (610) 237-4000
- NPI assigned
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Mount Vernon Hospital
- Inova Alexandria Hospital
- Inova Fair Oaks Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- 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 |
|---|---|---|---|---|
| I20241014000585 | DC | Practitioner - Hospitalist |
7012449226 | Reassigns benefits to 1 organization |
| I20241024000153 | VA | Practitioner - Hospitalist |
7012449226 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current |
Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients |
Locations
3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- mabdalla2016079@direct.trinity-health.org
- mabdalla1440781@soc.inova.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1500 Lansdowne Ave
Darby, PA 19023-1200
Mailing address
7736 Desiree St
Alexandria, VA 22315-6040
Other providers in Darby, PA
- 1412 Lansdowne Operating, LLC
- Daniel Birhanu Abate
- Iqra Abbas
- Abul Hasan Shadali Abdul Khader
- Aisha Abdul Sattar
- Ahmad Abed
- Reshma Saerah Abey
- Academic Otolaryngology Associates, LLC
All providers in Darby, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.