Active NPI
Khaled M Abdelkader, MD
- Internal Medicine Physician
- Palmer, MA
National Provider Identifier
1902838451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 78893
- Practice address
- 40 Wright St
Palmer, MA 01069-1138 - Phone
- (413) 284-5400
- Fax
- (413) 284-5559
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 78893 | MA | Primary |
Addresses
Primary practice location
40 Wright St
Palmer, MA 01069-1138
Mailing address
280 Chestnut St
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050513000580 | MA | Practitioner - Internal Medicine | 8527009174 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baystate Medical Practices Inc
Practice addresses (Care Compare)
40 Wright St
Palmer, MA 01069-1138
Phone (413) 284-5400
Hospital & facility affiliations
- Amedisys Home Health Care
- Baystate Home Health
- Encompass Health Home Health
- Baystate Wing Hospital
- Baystate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78893 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Internal Medicine | Current | Accepting new patients |
Locations
40 Wright St
Palmer, MA 01069
Phone (413) 284-5210
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Internal Medicine, MA
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ludlow, MA
- NPI 1356642110
-
- Home Health Agency
- Agawam, MA
- NPI 1770537847
-
- Home Health Agency
- West Springfield, MA
- NPI 1104897735
-
- Community Based Hospice Care Agency
- West Springfield, MA
- NPI 1437139664
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1902838451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST",
"address_2": "2ND FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WRIGHT ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691138",
"telephone_number": "413-284-5400",
"fax_number": "413-284-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELKADER",
"first_name": "KHALED",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "78893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.