DR. TUMODIR ATTA ABDALLAH MD
NPI 1053107516
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 19, 2025PECOS Enrolled

6071 W. OUTER DRIVE, DETROIT, MI 48235(313) 966-3250 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Tumodir Atta Abdallah Md NPPES

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

DR. TUMODIR ATTA ABDALLAH MD (NPI 1053107516) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053107516

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. TUMODIR ATTA ABDALLAHCredential: MD

Location Address6071 W. OUTER DRIVEDetroit, MI 48235

Mailing Address14508 S Stirrup CtHomer Glen, IL 60491-9297 · (708) 401-3804

Phone(313) 966-3250

Sole ProprietorNo

Enumeration DateApril 19, 2025

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1053107516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6071 W. OUTER DRIVE, Detroit, MI 48235

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tumodir Atta Abdallah Md 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.