Active NPI
Reham Abdou, M.D
- Pediatric Gastroenterology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 56855
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- Fax
- (602) 655-9139
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 036.179560 | IL | |
| Pediatrics Physician | 208000000X | 56855 | AZ | |
| Pediatric Gastroenterology Physician | 2080P0206X | 56855 | AZ | Primary |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
4658 E Via Pimeria Alta
Tucson, AZ 85718-3546
Phone (520) 330-2418
Other practice location 1
1725 W Harrison St Ste 710
Chicago, IL 60612-3863
Phone (312) 942-3034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424175 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AZ, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1700 W Van Buren St
Suite 161
Chicago, IL 60612-3228
1725 W Harrison St
Suite 710
Chicago, IL 60612-3863
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.179560 | IL | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| TMC Medical Network | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
5300 E Erickson Dr
Ste 1
Tucson, AZ 85712
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
5300 E Erickson Dr
Ste 100
Tucson, AZ 85712
Phone (520) 324-7200
2141 N Beverly Ave
Ste 101
Tucson, AZ 85712
Phone (520) 324-6290
2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
Interoperability endpoints
- reham.abdou@ghuc.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1194741181
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1629350855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4658 E VIA PIMERIA ALTA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857183546",
"telephone_number": "520-330-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011",
"fax_number": "602-655-9139"
}
],
"practiceLocations": [
{
"address_1": "1725 W Harrison St Ste 710",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123863",
"country_code": "US",
"telephone_number": "312-942-3034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDOU",
"first_name": "REHAM",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IL",
"license": "036.179560",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "56855",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AZ",
"license": "56855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424175",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.