MUHAMMAD ABDULLAH MD
NPI 1154614832
Internal Medicine - Nephrology in San Antonio, TX

Active since May 27, 2011PECOS EnrolledAccepts Medicare Assignment
1123 N MAIN AVE STE 120, SAN ANTONIO, TX 78212(210) 226-2001(210) 226-5211 Get Directions Write a Review

NPPES record last updated: July 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Muhammad Abdullah Md NPPES

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

MUHAMMAD ABDULLAH MD (NPI 1154614832) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (Q5314) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1154614832
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMUHAMMAD ABDULLAHCredential: MD
Location Address1123 N MAIN AVE STE 120San Antonio, TX 78212
Mailing Address16620 N Us Highway 281 Ste 300San Antonio, TX 78232-2679 · (210) 614-1231 · Fax (210) 616-0704
Fax(210) 226-5211
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 27, 2011
Last NPPES UpdateJuly 14, 2018
NPI 1154614832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · Q5314
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT194196 (PA), 40683 (IA), MD-40683 (IA)
1123 N MAIN AVE STE 120, San Antonio, TX 78212

Secondary Practice Location 1

Location 112221 Merit Dr., Ste 1500Dallas, TX 75251 · Phone (214) 217-1900 · Fax (214) 217-1912

Accepted 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

Muhammad Abdullah 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 ID9537302021
PECOS Enrollment IDI20151112000447
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
321 services98 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
297 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
251 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
166 services91 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
146 services26 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
78 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers35 claims2,175 services$0.28 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers43 claims3,990 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers44 claims44 services$18.47 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers47 claims56 services$11.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Specialist (Research Study)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Nurse Practitioner (Family)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212

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 Muhammad Abdullah's NPI number?

The NPI number for Muhammad Abdullah is 1154614832. It was assigned to this individual provider in the NPPES registry on May 27, 2011.

Where is Muhammad Abdullah located?

Muhammad Abdullah practices at 1123 N Main Ave Ste 120, San Antonio, TX 78212. The listed phone number is (210) 226-2001.

What is Muhammad Abdullah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Muhammad Abdullah enrolled in Medicare?

Yes. Muhammad Abdullah 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 Muhammad Abdullah 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 8 other insurers list Muhammad Abdullah 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 Muhammad Abdullah affiliated with any hospitals?

According to CMS data, Muhammad Abdullah is affiliated with Baptist Medical Center, Connally Memorial Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Abdullah was last updated on July 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.