Sosan Jaffar Alzibair Abdullah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2011-01192 Issued in NC

Practice address

352 E Parker Rd Ste B
Morganton, NC 28655-5122

Phone

(828) 580-3250

Fax

(828) 580-3259

NPI assigned

Sep 27, 2006

Last updated

Nov 16, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Physicians Care of Virginia PC

  • Nephrology Physician
  • Roanoke, VA
  • NPI 1770688145
  Medicare reassignment NPD
• Lynchburg Nephrology Physicians PLLC

  dba Lynchburg Nephrology Physicians

  • Specialist
  • Lynchburg, VA
  • NPI 1053498071
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1679664486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 E PARKER RD STE B",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555122",
            "telephone_number": "828-580-3250",
            "fax_number": "828-580-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 E PARKER RD STE B",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555122",
            "telephone_number": "828-580-3250",
            "fax_number": "828-580-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "SOSAN",
        "middle_name": "JAFFAR ALZIBAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2011-01192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679664486",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Caring Alternative, LLC
• A Caring Alternative, LLC
• A Caring Alternative, LLC
• A Caring Alternative, LLC
• Aa3 Ggrace Home Care LLC
• Christina Blanton Abernathy, D.M.D.
• David S Abernathy, M. D.
• Abilities in Motion
• Able Supports LLC
• Bradley Adair

• Nephrology Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.