NPIMap

Individual provider Active NPI

Afzal H Abdullah, M.D.

  • Vascular Surgery Physician
  • Bettendorf, IA
National Provider Identifier
1932199395
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036-104742 Issued in IL
Practice address
1075 Golden Valley Dr
Bettendorf, IA 52722-1649
Phone
(563) 328-5570
NPI assigned
Oct 26, 2005
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036-104742 IL Primary

Addresses

Primary practice location

1075 Golden Valley Dr
Bettendorf, IA 52722-1649

Mailing address

1075 Golden Valley Dr
Bettendorf, IA 52722-1649
Phone (563) 328-5570

Other identifiers 2

IdentifierTypeStateIssuer
036104742MedicaidIL
0234021MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afzal.abdullah@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050507000081 IA Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 2567402605 Reassigns benefits to 2 organizations
I20100614000062 IL Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 2567402605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

4700 E 56TH St
Davenport, IA 52807-2904

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Genesis Health System CurrentSince Dec 14, 2020 Accepting new patients
Genesis Health System CurrentSince Dec 14, 2020 Accepting new patients
Mercy Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Vascular & Thoracic Assoc. LTD. Vascular Surgery PastSince Jun 1, 2001 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1230 E Rusholme St
Ste 105
Davenport, IA 52803
Phone (319) 328-5570

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

870 36th Ave
Moline, IL 61265
Phone (309) 623-7100

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: aabdullah92033@direct.unitypoint.org
  • Direct secure messaging: afzal.abdullah@direct.genesishealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1932199395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 GOLDEN VALLEY DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221649",
            "telephone_number": "563-328-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 GOLDEN VALLEY DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221649",
            "telephone_number": "563-328-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "AFZAL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036-104742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104742",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234021",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afzal.abdullah@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1075 Golden Valley Dr",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527221649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.