Abdallah Abdallah, M.D
Individual provider Active NPI Gastroenterology Physician · Riverview, FL
NPI 1841685773 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1841685773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- ME165827 (FL)
- Practice address
- 9320 US Highway 301 S Ste 350
Riverview, FL 33578-6300 - Phone
- (813) 328-2070
- NPI assigned
- Mar 28, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Physician Group Inc
Practice addresses (Care Compare)
13403 Boyette Rd
Riverview, FL 33569-8742
Phone (813) 654-1775
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075
Hospital & facility affiliations
- Adventhealth Riverview
- Adventhealth Tampa
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 36 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20240712001406 | FL | Practitioner - Gastroenterology | 2860937919 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T3498 | MS | MD | Gastroenterology Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Gastroenterology | Current |
Accepting new patients |
Locations
13149 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 675-8326
9320 US Highway 301 S
Ste 350
Riverview, FL 33578
Phone (813) 328-2070
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Freedom Health HMO Network
Interoperability endpoints
- aabdallah2409183@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | T3498 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | ME165827 | FL | Yes |
Addresses
Primary practice location
9320 US Highway 301 S Ste 350
Riverview, FL 33578-6300
Mailing address
9320 US Highway 301 S Ste 350
Riverview, FL 33578-6300
Phone (813) 328-2070
Other practice location 1
2500 North State Street
4 South, Old Hospital
Jackson, MS 39232
Phone (248) 224-1173
Other providers in Riverview, FL
- A Life of Creativity Inc
- A Mindful Solution LLC
- A Sharper Mind LLC
- Aaron Keith Robinson Foundation, Inc
- Derek S Abbott
- Firas Mansoor Abed
- Abounding Love Family Support Services, LLC
- About You Mobility LLC.
- About You Physical Therapy LLC
- Angela Abraham
All providers in Riverview, FL · Gastroenterology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. 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.