Individual provider Active NPI

Hisham Abusamhadana, MD

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1689087306
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT207267 Issued in PA
Practice address
2314 Sassafras St
3Rd Floor
Erie, PA 16502-2722
Phone
(814) 452-5105
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group of Pennsylvania PC 150 clinicians

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-5585

232 W 25TH St
Erie, PA 16544-0002
Phone (814) 452-5000

Hospital & facility affiliations

  • Lakeland Area Hospice, LP Hospice, Erie, PA, CCN 391729
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170808000240 PA Practitioner - Family Practice 6507156650 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Apr 15, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 14, 2017 Accepting new patients
Steward Medical Group Inc. Family Medicine CurrentSince Apr 15, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 14, 2017 Accepting new patients
Saint Vincent Health Center Past Accepting new patients

Locations

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

232 W 25th St
Fl 9
Erie, PA 16544

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT207267 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

2314 Sassafras St
3Rd Floor
Erie, PA 16502-2722

Mailing address

232 W 25TH St FL 9
Erie, PA 16544-2722
Phone (814) 452-7605

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2023.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1689087306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST FL 9",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165442722",
            "telephone_number": "814-452-7605",
            "fax_number": "814-452-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022722",
            "telephone_number": "814-452-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSAMHADANA",
        "first_name": "HISHAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT207267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.