Active NPI
Maha Abdulla, DO
- Anatomic Pathology & Clinical Pathology Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1017579
- Practice address
- 85 Herrick St
Beverly, MA 01915-1790 - Phone
- (978) 922-3000
- NPI assigned
- Jun 18, 2015
- Last updated
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 20A15951 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1017579 | MA | Primary |
Addresses
Primary practice location
85 Herrick St
Beverly, MA 01915-1790
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Other practice location 1
1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15951 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 1017579 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 15951 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current | Accepting new patients | |
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
Organizations & group practices 4
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.
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Anatomic Pathology & Clinical Pathology, IL
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Specialist
- Zion, IL
- NPI 1548258072
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1740662469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HERRICK ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151790",
"telephone_number": "978-922-3000"
}
],
"practiceLocations": [
{
"address_1": "1800 N California St",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952046019",
"country_code": "US",
"telephone_number": "209-943-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDULLA",
"first_name": "MAHA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "20A15951",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "1017579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.