Manar Ahmed Abdelmegeed, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A158204 Issued in CA

Practice address

1101 S Winchester Blvd Ste J205
San Jose, CA 95128-3918

Phone

(612) 636-2055

NPI assigned

Mar 28, 2016

Last updated

Sep 23, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 13, 2023 through Feb 13, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Albabcare Behavioral Health and Consulting Services Inc

  • Health Service Clinic/Center
  • San Jose, CA
  • NPI 1821711847
  NPD Authorized official

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1699137661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 TWINLAKE DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892045",
            "telephone_number": "612-636-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE J205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283918",
            "telephone_number": "612-636-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMEGEED",
        "first_name": "MANAR",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A158204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khurram Abbass, MD
• Puya Abbassi, D.O.
• Jamie Abbott
• Serena Abbott
• Ashar Abdallah
• Halimo Farah Abdi
• Jill Abdilla
• Abolghasem Abdoli, MD
• Noorhan Abdulhadi, PA-C
• Jameena Abdulkareem

• Child & Adolescent Psychiatry Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.