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DR. MAYSSA ABUALI M.D.
NPI 1023273943
Pediatrics in Philadelphia, PA

Active since July 21, 2008PECOS Enrolled
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-7170(215) 456-4923 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mayssa Abuali M.d. NPPES

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

DR. MAYSSA ABUALI M.D. (NPI 1023273943) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD450234) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023273943
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MAYSSA ABUALICredential: M.D.
Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3098
Mailing Address5501 Old York RdPhiladelphia, PA 19141-3018 · (215) 456-7170 · Fax (215) 456-3436
Phone(215) 456-7170
Fax(215) 456-4923
Sole ProprietorYes
Enumeration DateJuly 21, 2008
Last NPPES UpdateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1023273943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD450234
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License MD450234 (PA)
5501 OLD YORK RD, Philadelphia, PA 19141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mayssa Abuali M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mayssa Abuali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan, Inc
Same address
Medical Toxicology
5501 OLD YORK RD
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1396327151 (215) 456-6666
City Of Philadelphia
1.8 mi
Federally Qualified Health Center (FQHC)
131 E CHELTEN AVE
Philadelphia, PA 19144
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 157 clinicians in this Medicare group
NPI 1427165307 (215) 685-5745

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 Mayssa Abuali's NPI number?

The NPI number for Mayssa Abuali is 1023273943. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Mayssa Abuali located?

Mayssa Abuali practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-7170.

What is Mayssa Abuali's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mayssa Abuali enrolled in Medicare?

Yes. Mayssa Abuali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mayssa Abuali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayssa Abuali reassigns Medicare benefits to 2 organizations: Einstein Practice Plan, Inc (Philadelphia, PA) and City Of Philadelphia (Philadelphia, PA). Each 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 Mayssa Abuali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayssa Abuali accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mayssa Abuali 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.

When was this NPI record last updated?

The NPPES record for Mayssa Abuali was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.