Active NPI
Babak Abai, MD
- Vascular Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD419070
- Practice address
- 1300 Wolf St
1St Floor
Philadelphia, PA 19148-2912 - Phone
- (215) 551-0360
- NPI assigned
- Jul 13, 2007
- Last updated
- Feb 12, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA08224200 | NJ | |
| Vascular Surgery Physician | 2086S0129X | MA08224200 | NJ | |
| Vascular Surgery Physician | 2086S0129X | MD419070 | PA | Primary |
Addresses
Primary practice location
1300 Wolf St
1St Floor
Philadelphia, PA 19148-2912
Mailing address
1300 Wolf St
1St Floor
Philadelphia, PA 19148-2912
Phone (215) 551-0360
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01007833100 | Other | NJ | AMERICHOICE |
| 6859760 | Other | NJ | CIGNA |
| P3807778 | Other | NJ | OXFORD HEALTH PLAN |
| 0136913 | Medicaid | NJ | |
| 60033606 | Other | NJ | HORIZON NJ HEALTH |
| 2802241 | Other | NJ | UNITED HEALTHCARE |
| 2857379000 | Other | NJ | AMERIHEALTH/KEYSTONE |
| 3K6562 | Other | NJ | HEALTHNET |
| 1599007 | Other | NJ | AETNA |
| P00455958 | Other | NJ | RR MEDICARE |
| 001943880 | Medicaid | PA |
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
- Vascular Surgery
- Education
- Hahnemann University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 Wolf St 1St Floor
Department of Surgery
Philadelphia, PA 19148-2912
Phone (215) 551-0360
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 40 |
| Removal of tissue | 12 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA08224200 | NJ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Surgery | Current | Accepting new patients |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Surgical Care Specialists Inc | Surgery | Past | Accepting new patients |
| The Nemours Foundation | Past | Accepting new patients | |
| Jefferson Radiation Oncology, LLC | Past | Accepting new patients |
Locations
1101 Chestnut St
Fl 9
Philadelphia, PA 19107
Phone (215) 503-1807
111 S 11th St
Ste 6270
Philadelphia, PA 19107
Phone (215) 955-6540
1300 Wolf St
Fl 1
Philadelphia, PA 19148
Phone (215) 551-0360
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CECJAA
Organizations & group practices 5
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.
-
- Surgery Physician
- Abington, PA
- NPI 1346386398
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- Radiation Oncology Physician
- Metairie, LA
- NPI 1619927910
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1780883371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 WOLF ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482912",
"telephone_number": "215-551-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 WOLF ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482912",
"telephone_number": "215-551-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABAI",
"first_name": "BABAK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MA08224200",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "MA08224200",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD419070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01007833100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6859760",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P3807778",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136913",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60033606",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2802241",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE",
"identifier": "2857379000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3K6562",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1599007",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00455958",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001943880",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.