Kassem-Ali Jihad Abbas
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Toledo, OH
NPI 1740936814 · NPPES record last updated Feb 26, 2022
Key facts
- NPI
- 1740936814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2605 W Village Dr
Toledo, OH 43614-4786 - Phone
- (419) 377-8049
- NPI assigned
- Feb 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230612000365 | IL | Order and Referring Only - General Surgery |
9436516168 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- kabbas151077@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2605 W Village Dr
Toledo, OH 43614-4786
Mailing address
2605 W Village Dr
Toledo, OH 43614-4786
Other providers in Toledo, OH
- Abba Journeys, LLC
- Hasan Abbas
- Hassan-James Abbas
- Jamal Abbas
- Jihad T Abbas
- Kimberly Abbas
- Zena Abd-Alahad
- Moshrik Abd-Alamir
- Rami Abd-Rabu
- Karim Abdalbari
All providers in Toledo, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.