Ali Hassan Abbas, M.D.
Individual provider Active NPI Internal Medicine Physician · Pontiac, MI
NPI 1972167526 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1972167526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD26050 (ME)
- Practice address
- 44405 Woodward Ave
Pontiac, MI 48341 - Phone
- (248) 858-6233
- Fax
- (248) 858-3244
- NPI assigned
- Apr 30, 2019
- Reactivated
- Oct 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group Maine PC
Practice addresses (Care Compare)
93 Campus Ave
Lewiston, ME 04240-6030
Phone (214) 592-1329
Hospital & facility affiliations
- St Mary'S Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.39 of 100
- Quality
- 70.14
- Improvement activities
- 40
- Cost
- 79.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230322002541 | ME | Practitioner - Internal Medicine | 0648506428 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26050 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Maine PC | Internal Medicine | Current |
Accepting new patients |
| Nes Medical Services of New England Inc | Current |
Accepting new patients | |
| St. Mary'S Regional Medical Center | Past | Accepting new patients |
Locations
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
102 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4200
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
91 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD26050 | ME | Yes |
Addresses
Primary practice location
44405 Woodward Ave
Pontiac, MI 48341
Mailing address
44405 Woodward Ave
Internal Medicine
Pontiac, MI 48341
Phone (248) 858-6233
Other providers in Pontiac, MI
- A1 Family Dentistry of Pontiac,PLC
- Aa Compassionate Care
- Aaim First Inc
- Aaim First Inc
- Aaim First Inc
- Fatma Abdel-Rahim
- Adib Abdelrahman
- Anan A Abdelrahman
- Ayodeji Eyitayo Abejide
- Andrew Charles Abiragi
All providers in Pontiac, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 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.