NPIMap

Individual provider Active NPI

Elias Habib Abboud, MD

  • Internal Medicine Physician
  • Lexington, MS
National Provider Identifier
1669485983
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14192 Issued in MS
Practice address
22741 Highway 12
Lexington, MS 39095-3118
Phone
(662) 834-1961
Fax
(662) 834-1962
NPI assigned
Aug 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14192 MS Primary

Addresses

Primary practice location

22741 Highway 12
Lexington, MS 39095-3118

Mailing address

22741 Highway 12
Lexington, MS 39095-3118
Phone (662) 834-1961

Other identifiers 3

IdentifierTypeStateIssuer
00115622MedicaidMS
09807861MedicaidMS
080142886OtherMSRAILROAD MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001162 MS Practitioner - Family PracticePractitioner - Emergency Medicine 2365435823 Reassigns benefits to 1 organization
Receives reassigned benefits from 6 practitioners
Practice locations: Durant, MS; Lexington, MS

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22741 Hwy 12
Lexington, MS 39095
Phone (662) 834-1961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Internal Medicine CurrentSince Aug 10, 2015 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 10, 2015 Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
State of Mississippi-University of Mississippi Medical Center Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

675 Northwest Ave
Durant, MS 39063
Phone (601) 653-3081

713 Northwest Ave
Durant, MS 39063
Phone (601) 653-3081

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

18295 Emory Rd
West, MS 39192
Phone (662) 834-1321

Interoperability endpoints

  • Direct secure messaging: eliasabboud@lmc-ms1.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669485983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22741 HIGHWAY 12",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953118",
            "telephone_number": "662-834-1961",
            "fax_number": "662-834-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22741 HIGHWAY 12",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953118",
            "telephone_number": "662-834-1961",
            "fax_number": "662-834-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "ELIAS",
        "middle_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115622",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09807861",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "080142886",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MS

Sources for this page

Verify at the official NPI Registry.