ABDUL H. DIWAN M.D. PHD
NPI 1154427201
Pathology - Dermatopathology in Houston, TX

Q: What is Abdul Diwan's NPI number?

The NPI number for Abdul Diwan is 1154427201. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Abdul Diwan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Q: When was this NPI record last updated?

The NPPES record for Abdul Diwan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment

84.05/100

CMS Quality Rating

1504 TAUB LOOP, HOUSTON, TX 77030(713) 873-3200(713) 873-3214 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Abdul H. Diwan M.d. Phd NPPES

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

ABDUL H. DIWAN M.D. PHD (NPI 1154427201) is an individual dermatopathology provider in Houston, Texas, licensed in Texas (L5722) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1154427201

Entity TypeIndividualMale

Primary Taxonomy207ZD0900X

Provider Legal NameABDUL H. DIWANCredential: M.D. PHD

Location Address1504 TAUB LOOPHouston, TX 77030-1608

Mailing Address1 Baylor PlzHouston, TX 77030-3411 · (713) 798-4661 · Fax (713) 798-5838

Phone(713) 873-3200

Fax(713) 873-3214

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 21, 2022

NPPES CertifiedJuly 21, 2022

✔ NPI 1154427201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZD0900X

License✔ Licensed in TX · L5722

Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

1504 TAUB LOOP, Houston, TX 77030

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Other Identifiers 2

Medicaid086036301TX

Medicaid153489301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Abdul H. Diwan M.d. Phd 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 ID1951452465

PECOS Enrollment IDI20090623000705

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.

Areas of Expertise CMS Part B claims 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

42 services28 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

24 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

84.05/100

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

Scored as part of a group practice

Quality

84.49

Improvement Activities

Cost

54.39

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.

ZAVEN SARGSYAN MD

Internal Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

KAYE-ANN ANTONETTE CHRISTIE PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-2000

EMILY MARIE WEBSTER PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

DR. MIGUEL A NIETO D.O.

Emergency Medicine

1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030

Harris County (713) 873-7045

DR. LOUIS BRUNO FORNAGE MD

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-3060

EMMA NAPOLI

Internal Medicine (Infectious Disease)

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-2309

DR. MICHELE TROUTMAN GIFFORD MD

Obstetrics & Gynecology

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 798-1750

DR. KYLE SUEN M.D.

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

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 Abdul Diwan's NPI number?

The NPI number for Abdul Diwan is 1154427201. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Abdul Diwan located?

Abdul Diwan practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 873-3200.

What is Abdul Diwan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Abdul Diwan enrolled in Medicare?

Yes. Abdul Diwan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Abdul Diwan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Abdul Diwan 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.

Is Abdul Diwan affiliated with any hospitals?

According to CMS data, Abdul Diwan is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Harris Health System.

When was this NPI record last updated?

The NPPES record for Abdul Diwan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.