Katrina M Abdalla, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

015994 Issued in NY

Practice address

2209 Genesee St
Utica, NY 13501-5930

Phone

(315) 801-3329

Fax

(315) 801-3072

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Imogene Bassett Hospital 780 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136

Merit-based Incentive Payment System (MIPS)

Final score

92.62 of 100Reported as apm

Quality

77.97

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kabdalla21790@albanymed.direct-ci.com
• Direct secure messaging: kabdalla352980@bassett.direct-ci.net

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.

• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221

  NY

  Medicare reassignment Care Compare group NPD
• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737

  NY

  Medicare reassignment NPD
• Mary Imogene Bassett Hospital

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  Care Compare group NPD
• Mary Imogene Bassett Hospital

  • General Acute Care Hospital
  • Cooperstown, NY
  • NPI 1093897910
  Care Compare group
• Mary Imogene Bassett Hospital

  • Community/Retail Pharmacy
  • Oneonta, NY
  • NPI 1174083190
  Care Compare group
• Mary Imogene Bassett Hospital

  • Community/Retail Pharmacy
  • Cooperstown, NY
  • NPI 1295762128
  Care Compare group
• Mary Imogene Bassett Hospital

  • Community/Retail Pharmacy
  • Delhi, NY
  • NPI 1477152627
  Care Compare group
• Mary Imogene Bassett Hospital

  • General Acute Care Hospital
  • Little Falls, NY
  • NPI 1700198652
  Care Compare group
• Mary Imogene Bassett Hospital

  • Rural Acute Care Hospital
  • Cooperstown, NY
  • NPI 1780600577
  Care Compare group
• Mary Imogene Bassett Hospital

  • General Acute Care Hospital
  • Cooperstown, NY
  • NPI 1851452890
  Care Compare group
• MVHS Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD
• Mohawk Valley Surgery Group

  • Specialist
  • Utica, NY
  • NPI 1578654828
  NPD (past)

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

• Mary Imogene Bassett Hospital

  • Rural Acute Care Hospital
  • Cooperstown, NY
  • NPI 1780600577

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1669722500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3329",
            "fax_number": "315-801-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3329",
            "fax_number": "315-801-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "KATRINA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "015994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Komal Abbas, DO
• Joanne Leigh Abboud
• Bridgett Abdallah
• Lynn Marie Abdelnour X, LMSW
• David Abdoo, PHYSICAL THERAPIST
• Maria C Abdou, RPH
• Jennifer Denise Abel-Bullock

• All providers in Utica, NY
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.

Verify at the official NPI Registry.