Adam Abboud, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Fall River, MA
NPI 1972122117 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1972122117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- PDF2549 (MA)
- Practice address
- 289 Pleasant St # 202
Fall River, MA 02721-3005 - Phone
- (508) 646-7720
- NPI assigned
- Apr 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prima Care, PC
Practice addresses (Care Compare)
289 Pleasant St
Suite 202
Fall River, MA 02721-3005
Phone (508) 678-2503
Hospital & facility affiliations
- Nightingale Visiting Nurses
- Saint Anne'S Hospital
- Southcoast Hospitals Group
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 303 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 754 |
| Removal or shaving of skin growth | 329 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230606003146 | NY | Practitioner - Podiatry | 9739546706 | Reassigns benefits to 1 organization |
| I20240222000483 | MA | Practitioner - Podiatry | 9739546706 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00364900 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current |
Accepting new patients | |
| LGD Podiatric Surgical, PC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Prima Care, PC | Current |
Accepting new patients | |
| Saint Anne'S Hospital | Past | Accepting new patients |
Locations
289 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 677-0733
289 Pleasant St
#202
Fall River, MA 02721
Phone (508) 646-7720
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
3003 New Hyde Park Rd
Ste 312
New Hyde Park, NY 11042
Phone (516) 492-3515
Interoperability endpoints
- adam.abboud@prima.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00364900 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 007330 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PDF2549 | MA | Yes |
Addresses
Primary practice location
289 Pleasant St # 202
Fall River, MA 02721-3005
Mailing address
289 Pleasant St # 202
Fall River, MA 02721-3005
Phone (508) 646-7720
Other providers in Fall River, MA
- A. Rose Pediatric Therapy Center, LLC
- Cynthia S. Aaron
- Elsa Abakah
- Peter Zakka Abaskhroun
- Lynn C Abbey
- Lobna Ahmed Mohammed Abdelwahab
- Michael L Abgrab
- Danish Abid
- Faique Abid
- Kendra Abram
All providers in Fall River, MA · Foot & Ankle Surgery Podiatrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.