Hael Abdulrazeq, MD
Individual provider Active NPI Neurological Surgery Physician · Providence, RI
NPI 1659934289 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1659934289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- LP04817 (RI)
- Practice address
- 593 Eddy St
Apc 6 - Department of Neurosurgery
Providence, RI 02903 - Phone
- (732) 485-6509
- NPI assigned
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
212 Demott Ave
Clifton, NJ 07011-3729
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20190626002156 | MI | Order and Referring Only - Neurosurgery |
0345574216 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP04817 | RI | MD | Neurological Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | LP04817 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Apc 6 - Department of Neurosurgery
Providence, RI 02903
Mailing address
593 Eddy St
Apc 6 - Department of Neurosurgery
Providence, RI 02903
Phone (732) 485-6509
Other providers in Providence, RI
- Mohammad Abdallat
- Mariam Abdelgany
- Abd Almonem Mohammad Abdelrahman
- Nilofar Abdul Shukur
- Aishatu Salihu Abdulkadiri
- Rusul Abdulrazzaq
- Azamat Abdyraimov
- Marie Michelle Abejuela
- Mugisha Abel
- Gabriel Abella
All providers in Providence, RI · Neurological Surgery Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 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.