Abdusebur M Jemal, MD

Key facts

NPI

1972066637

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

MD61563798 (WA)

Practice address

801 E Wheeler Rd
Moses Lake, WA 98837-1820

Phone

(503) 841-2565

NPI assigned

Apr 10, 2019

Sex

Male

Sole proprietor

No

Organizations & group practices 8

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.

• Grant County Public Hospital District 1 Rural Health Clinic/Center · Moses Lake, WA · NPI 1619086766
  Medicare reassignment Care Compare group NPD WA
• Apogee Medical Group PC Internal Medicine Physician · Phoenix, AZ · NPI 1558302174
  Medicare reassignment NPD INTERNAL MEDICINE · OR
• Impact Physician Group, LLC Internal Medicine Physician · Peachtree City, GA · NPI 1114428612
  Medicare reassignment NPD INTERNAL MEDICINE · OR
• Grant County Public Hospital District 1 Rural Health Clinic/Center · Moses Lake, WA · NPI 1609112739
  Care Compare group NPD
• Grant County Public Hospital District 1 General Acute Care Hospital · Moses Lake, WA · NPI 1902818883
  Care Compare group NPD
• Apogee Medical Group PC Internal Medicine Physician · Astoria, OR · NPI 1841461803
  NPD INTERNAL MEDICINE
• Apogee Medical Group PC Internal Medicine Physician · Phoenix, AZ · NPI 1922279991
  NPD INTERNAL MEDICINE
• Impact Physician Group, Washington LLC Internal Medicine Physician · Vancouver, WA · NPI 1457008971
  NPD (past) INTERNAL MEDICINE

Hospital & facility affiliations 3

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

• Grant County Public Hospital District 1 General Acute Care Hospital · Moses Lake, WA · NPI 1902818883
  Care Compare affiliation Hospital
• Grant County Public Hospital District No. 3 Critical Access Hospital · Ephrata, WA · NPI 1811979610
  Care Compare affiliation Hospital
• Providence Health & Services - Wa General Acute Care Hospital · Spokane, WA · NPI 1144471715
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Hospitalist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grant County Public Hospital District 1 (112 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Hospital Hospital · Moses Lake, WA · CCN 500033
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital · Spokane, WA · CCN 500054
• Columbia Basin Hospital Hospital · Ephrata, WA · CCN 501317

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in WA, OR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajemal4174281@direct.trinity-health.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2024.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1972066637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S COOLIDGE ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371872",
            "telephone_number": "509-793-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WHEELER RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371820",
            "telephone_number": "503-841-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMAL",
        "first_name": "ABDUSEBUR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61563798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

• James Collette and David Hamilton PLLC
• John Jamison, ARNP
• Kathryn L Jansen, RDH
• JD and SN Inc
• Daniel C Jeffcoat, MD
• Alexander Alide Johnson, DO
• Andrew Paullin Johnson, D.M.D.
• Deborah Johnson
• Marilee Sue Johnson, MS
• Michael Johnson, PA

All providers in Moses Lake, WA · Internal Medicine Physician in Washington