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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mariam Aboulela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Gulf Coast, PLLC
786 mi
Obstetrics & Gynecology
7900 FANNIN ST STE 4000
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 497 clinicians in this Medicare group
NPI 1578969465 (713) 512-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6198
AMANDA DUVALL MD
Obstetrics & Gynecology
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6198
BEZAWIT HIRUY MD
Student in an Organized Health Care Education/Training Program
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6116
PETER ANTHONY JONES
Student in an Organized Health Care Education/Training Program
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6116
TIFFANY AMANDA LOWTAN MD
Student in an Organized Health Care Education/Training Program
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6198
DR. EDWARD ROGER GILLETT M.D.
Family Medicine
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6197
BRADY CULPEPPER MD
Student in an Organized Health Care Education/Training Program
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6116
MARILYN W FUDGE MD
Obstetrics & Gynecology
700 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Mariam Aboulela located?

Mariam Aboulela practices at 700 6th St S, St Petersburg, FL 33701. The listed phone number is (727) 893-6198.

What is Mariam Aboulela's specialty?

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

Is Mariam Aboulela enrolled in Medicare?

Yes. Mariam Aboulela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mariam Aboulela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Aboulela reassigns Medicare benefits to Privia Medical Group Gulf Coast, PLLC (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Aboulela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariam Aboulela accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Mariam Aboulela as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mariam Aboulela affiliated with any hospitals?

According to CMS data, Mariam Aboulela is affiliated with Memorial Hermann Sugar Land Hospital.

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 2 years 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.