DR. ABDELRAHMAN ABDALLA
NPI 1104569227
Internal Medicine in Oklahoma City, OK

Q: What is Abdelrahman Abdalla's NPI number?

The NPI number for Abdelrahman Abdalla is 1104569227. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Q: What is Abdelrahman Abdalla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 16, 2022PECOS EnrolledAccepts Medicare Assignment

700 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 271-5882(405) 271-1476 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Apr 16, 2022 (2 updates tracked since 2022).

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About Dr. Abdelrahman Abdalla NPPES

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

DR. ABDELRAHMAN ABDALLA (NPI 1104569227) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45584) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104569227

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ABDELRAHMAN ABDALLA

Location Address700 NE 13TH STOklahoma City, OK 73104-5004

Mailing Address2330 California St Apt 7Mountain View, CA 94040-4705 · (650) 861-9010

Phone(405) 271-5882

Fax(405) 271-1476

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 16, 2022

Last NPPES UpdateJune 30, 20252 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1104569227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OK · 45584

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

700 NE 13TH ST, Oklahoma City, OK 73104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Dr. Abdelrahman Abdalla 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 ID9537549449

PECOS Enrollment IDI20250804000217

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.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370093

Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

TRESSIE MCCOY DPT

Physical Therapist