Individual provider Active NPI

Ramez Abdalla, MD

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1629023254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301067040 Issued in MI
Practice address
1133 Dyemeadow LN
Flint, MI 48532-2316
Phone
(810) 733-7064
NPI assigned
May 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301067040 MI Primary

Addresses

Primary practice location

1133 Dyemeadow LN
Flint, MI 48532-2316

Mailing address

1133 Dyemeadow LN
Flint, MI 48532-2316
Phone (810) 733-7064

Other identifiers 1

IdentifierTypeStateIssuer
4280501MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041001000575 MI Practitioner - Emergency MedicinePractitioner - Family Practice 6406825892 Reassigns benefits to 1 organization
I20101122000554 WI Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 6406825892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 1, 2017 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Aug 21, 2025 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 1, 2017 Accepting new patients
Hillsdale Emergency Physicians, P.C. CurrentSince Jun 26, 2022 Accepting new patients
Medical Procedures Center PC Past Accepting new patients
St Clair Pulmonary & Critical Care P C Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a2aabeb9-840e-4290-b28b-f0bb3ed955f9/
  • Direct secure messaging: rabdalla956294@direct.froedtert.com

Organizations & group practices 7

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629023254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 DYEMEADOW LN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322316",
            "telephone_number": "810-733-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 DYEMEADOW LN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322316",
            "telephone_number": "810-733-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "RAMEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301067040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4280501",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.