Individual provider Active NPI

Nabeel Abdullah, MD

  • Cardiovascular Disease Physician
  • Port Arthur, TX
National Provider Identifier
1952306565
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K9951 Issued in TX
Practice address
3921 N Twin City Hwy
Port Arthur, TX 77642-2118
Phone
(409) 963-0000
Fax
(409) 963-1899
NPI assigned
Jun 20, 2005
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K9951 TX Primary
Nuclear Cardiology Physician 207UN0901X K9951 TX

Addresses

Primary practice location

3921 N Twin City Hwy
Port Arthur, TX 77642-2118

Mailing address

PO Box 951406
Dallas, TX 75395-1406
Phone (409) 963-0000

Other identifiers 3

IdentifierTypeStateIssuer
060062159OtherTXRR MEDICARE
043174401MedicaidTX
K9951OtherTXLICENSE NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091210000220 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274671748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast Cardiology Group, PLLCGroup PAC ID 8123921608, 4 clinicians
Port Arthur Cardiac Cath Lab, LPGroup PAC ID 8426196999, 4 clinicians

Practice addresses (Care Compare)

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone (409) 724-7389

3570 College St
Suite 200
Beaumont, TX 77701-4679
Phone (409) 963-0000

3919 N Twin City Hwy
Port Arthur, TX 77642
Phone (409) 984-7090

3921 N Twin City Hwy
Port Arthur, TX 77642-2118
Phone (409) 963-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.97 of 100Reported as group
Quality
99.87
Improvement activities
40
Cost
74.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9951TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Arthur Cardiac Cath Lab, LP CurrentSince Jan 31, 2010 Accepting new patients
Gulf Coast Cardiology Group PLLC CurrentSince Jul 17, 2000 Accepting new patients

Locations

3570 College St
Ste 200
Beaumont, TX 77701
Phone (409) 839-3118

3919 N Twin City Hwy
Port Arthur, TX 77642
Phone (409) 984-7090

3919 N Twin City Hwy
Ste A
Port Arthur, TX 77642

3921 N Twin City Hwy
Port Arthur, TX 77642
Phone (409) 963-0000

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

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.

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1952306565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753951406",
            "telephone_number": "409-963-0000",
            "fax_number": "409-963-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422118",
            "telephone_number": "409-963-0000",
            "fax_number": "409-963-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "NABEEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K9951",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "K9951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060062159",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043174401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "K9951",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.