Individual provider Active NPI

Abdel Kader Tal, M.D.

  • MOHS-Micrographic Surgery Physician
  • Perrysburg, OH
National Provider Identifier
1972708105
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
35124449 Issued in OH
Practice address
900 W South Boundary St BLDG 9a
Perrysburg, OH 43551-5245
Phone
(419) 873-6963
Fax
(419) 873-6964
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301089516 MI
Dermatology Physician 207N00000X 35.124449 OH
MOHS-Micrographic Surgery Physician 207ND0101X 35124449 OH Primary
Dermatopathology Physician 207ND0900X 4301089516 MI
Procedural Dermatology Physician 207NS0135X 4301089516 MI

Addresses

Primary practice location

900 W South Boundary St BLDG 9a
Perrysburg, OH 43551-5245

Mailing address

900 W South Boundary St BLDG 9a
Perrysburg, OH 43551-5245
Phone (419) 873-6963

Other practice location 1

12780 Roachton Rd
#1
Perrysburg, OH 43551-1350
Phone (419) 872-0777 ext. 107

Other practice location 2

555 Midtowne St NE
Grand Rapids, MI 49503-5729
Phone (616) 248-8864

Other identifiers 1

IdentifierTypeStateIssuer
35.124449OtherOHSTATE LICENSE NUMBER

Other names 1

  • Abdel Kader El Tal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140926001294 OH Practitioner - Dermatology 9638356280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Care AssociatesGroup PAC ID 0244365260, 8 clinicians
Skin Care Experts LLCGroup PAC ID 8729475025, 3 clinicians

Practice addresses (Care Compare)

7249 Liberty Way
Suite 100
West Chester, OH 45069-1518
Phone (513) 770-3263

900 W S Boundary St
BLDG 9a
Perrysburg, OH 43551-5245
Phone (419) 873-6963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
81.67
Improvement activities
40
Cost
91.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision145
Removal of skin lesions434
Removal of skin cancer564
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089516MIMDDermatology Physician
35124449OHMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Experts LLC Dermatology CurrentSince Jan 10, 2022 Accepting new patients
University Physician Group Dermatology Past Accepting new patients
Art of Radiology Imaging Associates, PLLC Past Accepting new patients

Locations

1252 Ralston Ave
Ste 402C
Defiance, OH 43512
Phone (419) 873-6963

900 W South Boundary St
Bldg 9A
Perrysburg, OH 43551
Phone (419) 872-3010

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1972708105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W SOUTH BOUNDARY ST BLDG 9A",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515245",
            "telephone_number": "419-873-6963",
            "fax_number": "419-873-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SOUTH BOUNDARY ST BLDG 9A",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515245",
            "telephone_number": "419-873-6963",
            "fax_number": "419-873-6964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12780 Roachton Rd",
            "address_2": "#1",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435511350",
            "country_code": "US",
            "telephone_number": "419-872-0777 x107",
            "fax_number": "419-872-2369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Midtowne St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495035729",
            "country_code": "US",
            "telephone_number": "616-248-8864",
            "fax_number": "616-248-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAL",
        "first_name": "ABDEL KADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301089516",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.124449",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35124449",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MI",
            "license": "4301089516",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "4301089516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "35.124449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDEL KADER",
            "last_name": "EL TAL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.