Active NPI
Adam Abboud, DPM
- Foot & Ankle Surgery Podiatrist
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PDF2549
- Practice address
- 289 Pleasant St # 202
Fall River, MA 02721-3005 - Phone
- (508) 646-7720
- NPI assigned
- Apr 8, 2020
- Last updated
- Apr 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| 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 | 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007330 | NY | MD | Nutrition Education Nutritionist |
| 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
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
- 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.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
dba Foot & Ankle Surgeons of New York
- Foot & Ankle Surgery Podiatrist
- New Hyde Park, NY
- NPI 1245511559
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1932298296
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
dba Nightingale Visiting Nurses
- Home Health Agency
- Taunton, MA
- NPI 1881923936
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.