Active NPI
Khaled M Sebawih Abdalla, MD
- Neurology Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101272773
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-0816 - Phone
- (434) 924-2101
- Fax
- (434) 982-2580
- NPI assigned
- Jun 15, 2017
- Last updated
- Oct 2, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MT213344 | PA | |
| Neurology Physician | 2084N0400X | 0101272773 | VA | Primary |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-0816
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
1221 Lee St,
Charlottesville, VA 22903
Phone (434) 924-2706
Other practice location 2
125A Medical Cir
Winchester, VA 22601-3322
Phone (540) 667-1828
Other practice location 3
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
Other practice location 4
1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 667-1828
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kabdalla1157438@soc.inova.org | ||
| Direct Messaging Address | kabdalla1157438@soc.inova.org | ||
| Direct Messaging Address | kabdalla1157438@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Neurology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Medical Cir
Suite a
Winchester, VA 22601-3322
Phone (540) 667-1828
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT213344 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Medical Center | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Neurology | Current | Accepting new patients |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Shenandoah Valley Pathology Laboratories Inc | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc | Neurology | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Neurology | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Past | Accepting new patients |
Locations
1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
125 Medical Cir
#A
Winchester, VA 22601
Phone (540) 667-1828
125A Medical Cir
Winchester, VA 22601
Phone (540) 450-0072
1830 Amherst St
Winchester, VA 22601
Phone (540) 536-0057
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Interoperability endpoints
- kabdalla1155527@valleyhealth.direct-ci.com
Organizations & group practices 10
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 Valley Intensivists
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Anatomic Pathology & Clinical Pathology Physician
- Winchester, VA
- NPI 1447363114
-
dba Winchester Neurological Consultants Valley Health
- Neurology Physician
- Winchester, VA
- NPI 1194348441
-
dba Valley Health Fertility
- Obstetrics & Gynecology Physician
- Winchester, VA
- NPI 1255222535
-
dba Valley Health Pediatrics Department of Winchester Medical Center
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
dba Valley Health Laboratories
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
-
- General Acute Care Hospital
- Front Royal, VA
- NPI 1427085232
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
dba Valley Health Laboratories
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
Hospital
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Critical Access Hospital
- Berkeley Springs, WV
- NPI 1467450353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1750811428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080816",
"telephone_number": "434-924-2101",
"fax_number": "434-982-2580"
}
],
"practiceLocations": [
{
"address_1": "1221 Lee St,",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "22903",
"country_code": "US",
"telephone_number": "434-924-2706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125A Medical Cir",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226013322",
"country_code": "US",
"telephone_number": "540-667-1828",
"fax_number": "540-722-6207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1840 Amherst St",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012808",
"country_code": "US",
"telephone_number": "540-536-8000",
"fax_number": "540-536-7780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1830 Amherst St",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012808",
"country_code": "US",
"telephone_number": "540-667-1828",
"fax_number": "540-722-6207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDALLA",
"first_name": "KHALED",
"middle_name": "M SEBAWIH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MT213344",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101272773",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kabdalla1157438@soc.inova.org",
"affiliation": "N",
"address_1": "125A Medical Cir",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226013322",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kabdalla1157438@soc.inova.org",
"affiliation": "N",
"address_1": "1830 Amherst St",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226012808",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kabdalla1157438@soc.inova.org",
"affiliation": "N",
"address_1": "1840 Amherst St",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226012808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.