Nadia Abdallah, PA-C
Individual provider Active NPI Physician Assistant · Elyria, OH
NPI 1669839874 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1669839874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.004035 (OH)
- Practice address
- 525 Chestnut Commons Dr
Elyria, OH 44035-9611 - Phone
- (440) 406-8153
- Fax
- (440) 406-8312
- NPI assigned
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Rochester
University of Rochester Urgent Care
Practice addresses (Care Compare)
2047 W Ridge Rd
Rochester, NY 14626-2718
Phone (585) 276-1900
2070 Empire Blvd
Webster, NY 14580-1917
2134 Penfield Rd
Penfield, NY 14526-1736
Phone (585) 276-8280
3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1055
42 Nichols St
Spencerport, NY 14559-2180
Phone (585) 349-7094
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 784-2972
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100
Hospital & facility affiliations
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 68.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.56
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218000960 | OH | Practitioner - Physician Assistant | 9931404696 | Reassigns benefits to 1 organization |
| I20190606001942 | NY | Practitioner - Physician Assistant | 9931404696 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023291 | NY | MD | Clinical Social Worker |
| 23291 | NY | MD | Physician Assistant |
| 50.004035 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Trauma of the University of Rochester | Current | Accepting new patients | |
| Cardiac Surgery of the University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current |
Accepting new patients | |
| University of Rochester | Current |
Accepting new patients | |
| Incare Health Solutions, LLC | Physician Assistant | Current |
Accepting new patients |
Locations
601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
525 Chestnut Commons Dr
Elyria, OH 44035
Phone (440) 406-8153
175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433
211 Edgefield Blvd
Marion, OH 43302
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
Interoperability endpoints
- nabdallah178951@direct.urmc.rochester.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 23291 | NY | |
| Physician Assistant | 363A00000X | 50.004035 | OH | Yes |
Addresses
Primary practice location
525 Chestnut Commons Dr
Elyria, OH 44035-9611
Mailing address
211 Edgefield Blvd
Marion, OH 43302-5801
Phone (740) 914-4178
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nabdallah178951@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | nabdallah178951@direct.urmc.rochester.edu | Direct |
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 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.