Active NPI
Bashir Abdul-Wadud, PA-C
- Physician Assistant
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA057997
- Practice address
- 5 Palisades Dr Ste 100
Albany, NY 12205-6433 - Phone
- (518) 438-4496
- Fax
- (518) 438-5803
- NPI assigned
- Jul 16, 2006
- Last updated
- May 6, 2025
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1876 | MA | |
| Physician Assistant | 363A00000X | MA057997 | PA | Primary |
Addresses
Primary practice location
5 Palisades Dr Ste 100
Albany, NY 12205-6433
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
65 Cooper St
Innovative Physician Services, LLC
Agawam, MA 01001-2149
Phone (413) 786-8000
Other practice location 2
2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 438-4496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Norton Ave
Oneonta, NY 13820-2629
Phone (607) 547-3456
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456
Hospital & facility affiliations
- Aurelia Osborn Fox Memorial Hospital
- Bassett Healthcare
- O'Connor Hospital
- Cobleskill Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.33 of 100
- Improvement activities
- 40
- Cost
- 77.32
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1876 | MA | MD | Speech-Language Pathologist |
| MA057997 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Dubois Regional Medical Center | Physician Assistant | Current | Accepting new patients |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Upmc Altoona | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| St. Peter's Health Partners Medical Associates, P.C. | Physician Assistant | Current | Accepting new patients |
| Westchester Medical Center | Past | Accepting new patients | |
| Baystate Affiliated Practice Organization | Medical | Past | Accepting new patients |
| St. Peter's Health Partners Medical Associates, P.C. | Physician Assistant | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
5 Palisades Dr
Ste 100
Albany, NY 12205
Phone (518) 438-4496
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
99 E State St
Gloversville, NY 12078
Phone (518) 773-5690
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
130 North St
Walton, NY 13856
Phone (607) 865-6541
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
100 Hospital Ave
Ofc
Dubois, PA 15801
145 Hospital Ave
Ste 204
Dubois, PA 15801
Phone (814) 371-4360
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- babdulwadud1899226@nychhc.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 20
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 Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Physician Assistant
-
- Internal Medicine Physician
- Du Bois, PA
- NPI 1285821835
Physician Assistant
-
- Internal Medicine Physician
- Du Bois, PA
- NPI 1679584742
-
dba Altoona Emergency Physicians
- General Acute Care Hospital
- Altoona, PA
- NPI 1497831655
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- Hospitalist Physician
- Gloversville, NY
- NPI 1487907630
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Hospitalist Physician
- Amsterdam, NY
- NPI 1356171490
-
- Emergency Medicine Physician
- Amsterdam, NY
- NPI 1700643830
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Emergency Medicine Physician
- Harrisburg, PA
- NPI 1316341241
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneonta, NY
- NPI 1578529954
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1689741985
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
dba Bassett Healthcare
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
- Critical Access Hospital
- Delhi, NY
- NPI 1891728192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1871510883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634",
"fax_number": "518-649-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PALISADES DR STE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122056433",
"telephone_number": "518-438-4496",
"fax_number": "518-438-5803"
}
],
"practiceLocations": [
{
"address_1": "65 Cooper St",
"address_2": "Innovative Physician Services, LLC",
"address_purpose": "LOCATION",
"city": "Agawam",
"state": "MA",
"postal_code": "010012149",
"country_code": "US",
"telephone_number": "413-786-8000",
"fax_number": "413-786-9788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 New Hampshire Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121801764",
"country_code": "US",
"telephone_number": "518-438-4496",
"fax_number": "518-438-5803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDUL-WADUD",
"first_name": "BASHIR",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "1876",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.