Individual provider Active NPI

Yehia Salah Eldin Abdelwahed, M.D.

  • Nephrology Physician
  • Atlantis, FL
National Provider Identifier
1750557666
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME114122 Issued in FL
Practice address
101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone
(561) 612-8080
Fax
(561) 612-8084
NPI assigned
May 1, 2008
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME114122 FL
Nephrology Physician 207RN0300X ME114122 FL Primary

Addresses

Primary practice location

101 John F Kennedy Dr
Atlantis, FL 33462-1119

Mailing address

101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone (561) 612-8080

Other identifiers 1

IdentifierTypeStateIssuer
008912900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130628000240 FL Practitioner - NephrologyPractitioner - Internal Medicine 8729228572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension of the Palm Beaches PLLCGroup PAC ID 5698012565, 3 clinicians

Practice addresses (Care Compare)

101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone (561) 612-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
86.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension of the Palm Beaches PLLC Nephrology CurrentSince Aug 10, 2018 Accepting new patients
Mohr Medical LLC PastSince Feb 12, 2019 Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients

Locations

101 John F Kennedy Dr
Lake Worth, FL 33462
Phone (561) 612-8080

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18387/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yehia.abdelwahed.1@18387.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1750557666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-612-8080",
            "fax_number": "561-612-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-612-8080",
            "fax_number": "561-612-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELWAHED",
        "first_name": "YEHIA",
        "middle_name": "SALAH ELDIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114122",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME114122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008912900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.