Individual provider Active NPI

Adam Abboud, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fall River, MA
National Provider Identifier
1972122117
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PDF2549 Issued in MA
Practice address
289 Pleasant St # 202
Fall River, MA 02721-3005
Phone
(508) 646-7720
NPI assigned
Apr 8, 2020
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00364900 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 007330 NY
Foot & Ankle Surgery Podiatrist 213ES0103X PDF2549 MA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230606003146 NY Practitioner - Podiatry 9739546706 Reassigns benefits to 1 organization
I20240222000483 MA Practitioner - Podiatry 9739546706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

289 Pleasant St
Suite 202
Fall River, MA 02721-3005
Phone (508) 678-2503

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue303
Removal of skin lesions1-10
Removal of nail tissue754
Removal or shaving of skin growth329
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007330NYMDNutrition Education Nutritionist
25MD00364900NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Apr 2, 2024 Accepting new patients
LGD Podiatric Surgical, PC Foot & Ankle Surgery CurrentSince Jul 9, 2023 Accepting new patients
Prima Care, PC CurrentSince Apr 2, 2024 Accepting new patients
Saint Anne's Hospital Past Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

289 Pleasant St
#202
Fall River, MA 02721
Phone (508) 646-7720

289 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 677-0733

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

  • Direct secure messaging: adam.abboud@prima.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1972122117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST # 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-646-7720",
            "fax_number": "718-962-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST # 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-646-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "ADAM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00364900",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007330",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "PDF2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.