Active NPI
Mohamed A Abdulla, MD
- Anatomic Pathology & Clinical Pathology Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD047282L
- Practice address
- 575 N River St
Wilkes Barre, PA 18702-2634 - Phone
- (570) 552-1435
- Fax
- (570) 552-1510
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | MD047282L | PA | |
| Anatomic Pathology Physician | 207ZP0101X | 25MA07827100 | NJ | |
| Clinical Medical Laboratory | 291U00000X | 232717-1 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD047282L | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18702-2634
Mailing address
PO Box 1476
Kingston, PA 18704-0476
Phone (570) 288-8881
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 552-1435
Hospital & facility affiliations
- Wilkes-Barre General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.34 of 100
- Quality
- 88.68
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047282L | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 232717-1 | NY | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Valley Pathology Associates | Current | Accepting new patients | |
| St. Luke'S Quakertown Hospital | Past | Accepting new patients | |
| Wyoming Valley Pathology Associates | Clinical Medical Laboratory | Past | Accepting new patients |
Locations
300 Laird St
Ste 2A
Wilkes Barre, PA 18702
Phone (570) 235-1372
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222
Interoperability endpoints
- mohamed.abdulla@slpg.direct-sluhn.org
Organizations & group practices 3
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Wilkes Barre, PA
- NPI 1265458988
-
- Urgent Care Clinic/Center
- Lansdale, PA
- NPI 1326920836
-
- Clinical Medical Laboratory
- Wilkes Barre, PA
- NPI 1942140132
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1700820487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1476",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187040476",
"telephone_number": "570-288-8881",
"fax_number": "570-288-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187022634",
"telephone_number": "570-552-1435",
"fax_number": "570-552-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLA",
"first_name": "MOHAMED",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "PA",
"license": "MD047282L",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NJ",
"license": "25MA07827100",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NY",
"license": "232717-1",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD047282L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.