MARIAM ABOULELA MD
NPI 1013546670
Obstetrics & Gynecology in St Petersburg, FL

Q: What is Mariam Aboulela's NPI number?

The NPI number for Mariam Aboulela is 1013546670. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Mariam Aboulela's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Aboulela was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment

700 6TH ST S, ST PETERSBURG, FL 33701(727) 893-6198(727) 893-6978 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Apr 6, 2020 (2 updates tracked since 2020).

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About Mariam Aboulela Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAM ABOULELA MD (NPI 1013546670) is an individual obstetrics & gynecology provider in St Petersburg, Florida, licensed in Texas (V2960) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Sugar Land Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013546670

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMARIAM ABOULELACredential: MD

Location Address700 6TH ST SSt Petersburg, FL 33701-4815

Mailing Address17520 W Grand Pkwy S Ste 230Sugar Land, TX 77479-4759 · (713) 578-3823

Phone(727) 893-6198

Fax(727) 893-6978

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 6, 2020

Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1013546670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · V2960

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

700 6TH ST S, St Petersburg, FL 33701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariam Aboulela Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426471525

PECOS Enrollment IDI20241004000758

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID D. DESPER JR. M.D.

Obstetrics & Gynecology