Abdullah Al-Rashdan, M.D.
Individual provider Active NPI Gastroenterology Physician · Memphis, TN
NPI 1588831721 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1588831721
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 67164 (TN)
- Practice address
- 80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353 - Phone
- (901) 761-3900
- Fax
- (901) 578-2572
- NPI assigned
- May 15, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastrointestinal Specialists Foundation, Inc.
Baptist Memorial Medical Group, Inc.
Practice addresses (Care Compare)
1500 W Poplar Ave
Collierville, TN 38017-0601
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-4910
6019 Walnut Grove Rd 4
Memphis, TN 38120-2113
Phone (901) 226-0732
6025 Walnut Grove Rd
Suite 627
Memphis, TN 38120-2126
Phone (901) 767-3321
80 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2352
Phone (901) 761-3900
80 Humphreys Ctr Dr
Suite 210
Memphis, TN 38120-2353
Phone (901) 761-3900
Hospital & facility affiliations
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital Tipton
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.28 of 100
- Quality
- 90.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 83 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 458 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, TN
- 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 |
|---|---|---|---|---|
| I20101214000978 | IL | Practitioner - Gastroenterology |
8628142882 | Reassigns benefits to 1 organization |
| I20230627002122 | TN | Practitioner - Gastroenterology | 8628142882 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036124817 | IL | MD | Gastroenterology Physician |
| 01064840A | IN | MD | Gastroenterology Physician |
| 67164 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pekin Prohealth Inc | Current |
Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Gastrointestinal Specialists Foundation, Inc | Gastroenterology | Current |
Accepting new patients |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Past |
Accepting new patients | |
| BMC - Attala, LLC | Past |
Accepting new patients | |
| Central Illinois Endoscopy Center, LLC | Past | Accepting new patients |
Locations
600 S 13th St
#J
Pekin, IL 61554
Phone (309) 353-0607
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
1001 Main St
Ste 500B
Peoria, IL 61606
Phone (309) 495-1144
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
1500 W Poplar Ave
Ste 206
Collierville, TN 38017
Phone (901) 227-4067
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01064840A | IN | |
| Gastroenterology Physician | 207RG0100X | 036124817 | IL | |
| Gastroenterology Physician | 207RG0100X | 67164 | TN | Yes |
Addresses
Primary practice location
80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07215152 | Other | BLUE CROSS |
Other providers in Memphis, TN
- Angela Imad Al Harir
- Zubaidah Al Hayali
- Zebin Mohammad Al Zebin
- Faris Al-Gebory
- Maha Al-Khawaja
- Basil Al-Sabeq
- Hiba Naser Al-Zubeidi
- Alan Michael Alabaster
- Ahmed Alaina
- Rezaul Alam
All providers in Memphis, TN · Gastroenterology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. 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.