MARYAM A. ABDELNABY MD
NPI 1104978568
Family Medicine in Harbor City, CA

Q: What is Maryam Abdelnaby's NPI number?

The NPI number for Maryam Abdelnaby is 1104978568. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Maryam Abdelnaby's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Abdelnaby was last updated on March 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 17, 2007PECOS Enrolled

25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Maryam A. Abdelnaby Md NPPES

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

MARYAM A. ABDELNABY MD (NPI 1104978568) is an individual family medicine provider in Harbor City, California, licensed in California (A80495) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2001).

NPPES Registry Identity

NPI1104978568

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARYAM A. ABDELNABYCredential: MD

Location Address25825 VERMONT AVEHarbor City, CA 90710-3518

Mailing Address2563 Plaza Del Amo, Unit 406Torrance, CA 90503-8958 · (310) 991-6569

Phone(310) 325-5111

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2001

Enumeration DateJanuary 17, 2007

Last NPPES UpdateMarch 5, 2020

NPPES CertifiedMarch 5, 2020

✔ NPI 1104978568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A80495

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

25825 VERMONT AVE, Harbor City, CA 90710

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Other Identifiers 1

Medicaid00A804950CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam A. Abdelnaby Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830136217

PECOS Enrollment IDI20050418000205

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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