Individual provider Active NPI

Ehab Farouk Abdalah, M.D

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1932291408
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
239123 Issued in NY
Practice address
9515 W Camelback Rd Ste 126
Phoenix, AZ 85037-1364
Phone
(623) 247-0850
Fax
(623) 247-0850
NPI assigned
Sep 29, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 239123 NY Primary

Addresses

Primary practice location

9515 W Camelback Rd Ste 126
Phoenix, AZ 85037-1364

Mailing address

9515 W Camelback Rd Ste 126
Phoenix, AZ 85037-1364
Phone (623) 247-0850

Other identifiers 2

IdentifierTypeStateIssuer
158322MedicaidAZ
36239OtherAZMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000382 AZ Practitioner - Physical Medicine and Rehabilitation 3274533427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Practice addresses (Care Compare)

11518 N Frontage Rd
Yuma, AZ 85367-8994
Phone (928) 342-6500

9515 W Camelback Rd
Suite 126
Phoenix, AZ 85037-1364
Phone (623) 247-0850

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Rehabilitation Consultants LLC CurrentSince Jan 1, 2008 Accepting new patients
Bio Family Clinic Inc CurrentSince Dec 15, 2025 Accepting new patients

Locations

9515 W Camelback Rd
Ste 126
Phoenix, AZ 85037
Phone (623) 247-0850

11518 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500

11611 S Foothills Blvd
Ste G
Yuma, AZ 85367
Phone (520) 476-3503

Interoperability endpoints

  • Direct secure messaging: ehab.abdalah.1@15849.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932291408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371364",
            "telephone_number": "623-247-0850",
            "fax_number": "623-247-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371364",
            "telephone_number": "623-247-0850",
            "fax_number": "623-247-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALAH",
        "first_name": "EHAB",
        "middle_name": "FAROUK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "239123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158322",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "36239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.