Jack Abboudi, M.D.
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Bryn Mawr, PA
NPI 1790746162 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1790746162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- MD059555L (PA)
- Practice address
- 825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231 - Phone
- (800) 321-9999
- Fax
- (267) 479-1321
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Rutgers New Jersey Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reconstructive Orthopaedic Associates II LLC
Practice addresses (Care Compare)
400 Enterprise Dr
FL 2
Limerick, PA 19468-1218
Phone (800) 321-9999
825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231
Phone (800) 321-9999
925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500
Hospital & facility affiliations
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Chester County Hospital
- Paoli Hospital
- Hospital of Univ of Pennsylvania
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20101115001038 | PA | Practitioner - Hand Surgery |
7315044310 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD059555L | PA | MD | Orthopaedic Hand Surgery Physician |
| 308173 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthopaedic Specialists, P.C. | Hand Surgery | Current | Accepting new patients |
Locations
999 Route 73 N
Ste 401
Marlton, NJ 08053
825 Old Lancaster Rd
Ste 140
Bryn Mawr, PA 19010
Phone (610) 672-1163
27 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 527-1762
825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800
650 Carnegie Blvd
Ste 220A
Malvern, PA 19355
Phone (610) 707-4028
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543
400 Enterprise Dr
Royersford, PA 19468
Phone (267) 335-3558
Interoperability endpoints
- jack.abboudi@rot.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 308173 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 25MA09473400 | NJ | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 308173 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD059555L | PA | Yes |
Addresses
Primary practice location
825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231
Mailing address
833 Chestnut St Ste 502
Philadelphia, PA 19107-4405
Phone (800) 321-9999
Other practice location 1
925 Chestnut Street
Fifth Floor
Philadelphia, PA 19107
Phone (267) 339-3500
Other practice location 2
400 Enterprise Dr
Limerick, PA 19468-1218
Phone (800) 321-9999
Other practice location 3
650 Carnegie Blvd Ste 220A
Malvern, PA 19355-0367
Phone (800) 321-9999
Other providers in Bryn Mawr, PA
- 1201 Pediatric Group
- Aaron L Shapiro,MD,PC
- Craig Marshall Aaron
- Joseph M. Abboud
- Abraham Eye Associates LLC
- Andrew Jay Abramowitz
- Melanie Abramowitz
- Abramson Center for Jewish Life Medical Group
- Andrew Abramson
All providers in Bryn Mawr, PA · Orthopaedic Hand Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.