Individual provider Active NPI

Dalia Akkad Abaza, PA-C

  • Medical Physician Assistant
  • Bel Air, MD
National Provider Identifier
1679015333
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0006230 Issued in MD
Practice address
5 Bel Air South Pkwy
Suite 1535
Bel Air, MD 21015-6091
Phone
(410) 569-2441
NPI assigned
Nov 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0006230 MD Primary

Addresses

Primary practice location

5 Bel Air South Pkwy
Suite 1535
Bel Air, MD 21015-6091

Mailing address

5 Bel Air South Pkwy
Suite 1535
Bel Air, MD 21015-6091
Phone (410) 569-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170203001554 MD Practitioner - Physician Assistant 2567745219 Reassigns benefits to 2 organizations
I20210823002166 DC Practitioner - Physician Assistant 2567745219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samer Saiedy MD PA 15 clinicians

Practice addresses (Care Compare)

110 Old Padonia Rd
Suite 101
Cockeysville, MD 21030-4944
Phone (410) 825-4530

1500 Blenhiem Farm LN
Havre de Grace, MD 21078-2042
Phone (410) 942-1000

3401 Box Hill Corporate Ctr Dr
Suite 204
Abingdon, MD 21009-1200
Phone (410) 836-8667

5233 King Ave
Suite 104
Rosedale, MD 21237-4003
Phone (443) 921-4800

540 E Belvedere Ave
Suite 204
Baltimore, MD 21212-3750
Phone (443) 449-6413

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
80.33
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists, Inc. CurrentSince Dec 14, 2017 Accepting new patients
St Paul Place Specialists Inc CurrentSince Dec 14, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Nov 19, 2016 Accepting new patients
MNR Industries LLC CurrentSince Nov 19, 2016 Accepting new patients
Podiatry Associates, P.a. Past Accepting new patients
MNR Industries LLC Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

5 Bel Air South Pkwy
Ste 1535
Bel Air, MD 21015
Phone (410) 569-0044

1212 York Rd
Ste B201
Lutherville Timonium, MD 21093
Phone (410) 337-7755

Interoperability endpoints

  • Direct secure messaging: dalia.abaza.1@16925.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1679015333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEL AIR SOUTH PKWY",
            "address_2": "SUITE 1535",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156091",
            "telephone_number": "410-569-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEL AIR SOUTH PKWY",
            "address_2": "SUITE 1535",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156091",
            "telephone_number": "410-569-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAZA",
        "first_name": "DALIA",
        "middle_name": "AKKAD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-12",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.