Individual provider Active NPI

Sarah Abdul Jabbar, MBBS

  • Internal Medicine Physician
  • Saint Cloud, MN
National Provider Identifier
1932489002
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59050 Issued in MN
Practice address
1900 Centracare Circle #2425
Centracare Clinic Health Plaza Internal Medicine
St Cloud, MN 56303-5000
Phone
(320) 229-4928
Fax
(320) 229-4970
NPI assigned
Aug 22, 2011
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 59050 MN Primary

Addresses

Primary practice location

1900 Centracare Circle #2425
Centracare Clinic Health Plaza Internal Medicine
St Cloud, MN 56303-5000

Mailing address

1900 Centracare Circle #2425
Centracare Clinic Health Plaza Internal Medicine
St Cloud, MN 56303-5000
Phone (320) 229-4928

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sabduljabbar275372@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150825004189 MN Practitioner - Internal Medicine 1052627809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1900 Centracare Cir
Suite 1900
Saint Cloud, MN 56303-5000
Phone (320) 229-4997

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59050MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Aug 15, 2015 Accepting new patients
Centracare Clinic CurrentSince Aug 15, 2015 Accepting new patients
Centracare Clinic Past Accepting new patients
Good Shepherd Lutheran Home of Sauk Rapids, Minnesota Past Accepting new patients
Country Manor Campus LLC Past Accepting new patients

Locations

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1900 Centracare Cir
#2425
Saint Cloud, MN 56303
Phone (320) 229-4928

Organizations & group practices 6

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 2

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1932489002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE #2425",
            "address_2": "CENTRACARE CLINIC HEALTH PLAZA INTERNAL MEDICINE",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-4928",
            "fax_number": "320-229-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE #2425",
            "address_2": "CENTRACARE CLINIC HEALTH PLAZA INTERNAL MEDICINE",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-4928",
            "fax_number": "320-229-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL JABBAR",
        "first_name": "SARAH",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "59050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sabduljabbar275372@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sabduljabbar275372@direct.centracare.com",
            "address_1": "1900 CentraCare Circle #2425",
            "address_2": "CentraCare Clinic Health Plaza Internal Medicine",
            "city": "St Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563035000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.