Individual provider Active NPI

Ali Hassan Abbas, M.D.

  • Internal Medicine Physician
  • Pontiac, MI
National Provider Identifier
1972167526
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD26050 Issued in 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
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD26050 ME Primary

Addresses

Primary practice location

44405 Woodward Ave
Pontiac, MI 48341

Mailing address

44405 Woodward Ave
Internal Medicine
Pontiac, MI 48341
Phone (248) 858-6233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322002541 ME Practitioner - Internal Medicine 0648506428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Maine PCGroup PAC ID 8527415462, 26 clinicians

Practice addresses (Care Compare)

93 Campus Ave
Lewiston, ME 04240-6030
Phone (214) 592-1329

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
70.14
Improvement activities
40
Cost
79.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD26050MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Medical Services of New England Inc CurrentSince Dec 9, 2022 Accepting new patients
Apogee Medical Group, Maine, P.C. Internal Medicine CurrentSince Oct 8, 2023 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

91 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8150

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

Organizations & group practices 3

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 1

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1972167526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "address_2": "INTERNAL MEDICINE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-858-6233",
            "fax_number": "248-858-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-858-6233",
            "fax_number": "248-858-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "ALI",
        "middle_name": "HASSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "deactivation_date": "2019-12-16",
        "reactivation_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD26050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.