ABDELHAI ABDELQADER MD
NPI 1073931127
Internal Medicine - Gastroenterology in Maywood, IL

Q: What is Abdelhai Abdelqader's NPI number?

The NPI number for Abdelhai Abdelqader is 1073931127. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Q: What is Abdelhai Abdelqader's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment

96.6/100

CMS Quality Rating

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 19, 2024, Sep 3, 2024, Sep 16, 2021 and 3 more (6 updates tracked since 2017).

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About Abdelhai Abdelqader Md NPPES

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

ABDELHAI ABDELQADER MD (NPI 1073931127) is an individual gastroenterology provider in Maywood, Illinois, licensed in Illinois (036171489) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Fish Memorial, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073931127

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameABDELHAI ABDELQADERCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing AddressPo Box 2153 Dept 1947Birmingham, AL 35287-0001 · (901) 226-3186 · Fax (901) 226-3160

Phone(708) 216-9000

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 4, 2014

Last NPPES UpdateSeptember 19, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1073931127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in IL · 036171489✔ Licensed in FL · ME151835

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2160 S 1ST AVE, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Plan, Inc., Oscar Insurance Company.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

Abdelhai Abdelqader 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 ID3577852458

PECOS Enrollment IDI20241108003017

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

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

Medical Foundation Of Central Mississippi, Inc

660 mi

Cardiovascular Disease

401 BAPTIST DR, SUITE 304
Madison, MS 39110

Reassigned Medicare billing, Mississippi enrollment
423 clinicians in this Medicare group

NPI 1902096837 (601) 605-3531

University Of Florida Jacksonville Physicians Inc

865 mi

Pulmonary Disease

655 W 8TH ST, UFJP PULMONARY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1104086479 (904) 244-3660

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

53 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

43 services41 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

17 services17 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100072

Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County

Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)