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ABD ASSALAM QANNUS M.D.
NPI 1184133746
Internal Medicine - Nephrology in Portland, ME

Active since September 27, 2017PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
22 BRAMHALL ST RM 5219, PORTLAND, ME 04102(207) 662-7872(207) 662-6306 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abd Assalam Qannus M.d. NPPES

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

ABD ASSALAM QANNUS M.D. (NPI 1184133746) is an individual nephrology provider in Portland, Maine, licensed in Maine (EC171095) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1184133746
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameABD ASSALAM QANNUSCredential: M.D.
Location Address22 BRAMHALL ST RM 5219Portland, ME 04102-3134
Mailing Address22 Bramhall St Rm 5219Portland, ME 04102-3134 · (207) 662-7872 · Fax (207) 662-6306
Phone(207) 662-7872
Fax(207) 662-6306
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 27, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1184133746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in ME · EC171095
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.
22 BRAMHALL ST RM 5219, Portland, ME 04102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Oscar Health Plan, Inc. and more.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

Abd Assalam Qannus M.d. 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 ID5294065512
PECOS Enrollment IDI20211105000465
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 Reassignment

Medicare enrollment records show Abd Assalam Qannus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner-University Medical Group
2,326 mi
Nutrition, Education
535 N WILMOT RD STE 101
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
NPI 1932708328 (520) 694-5437

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.

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.
136 services77 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.
79 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services65 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.
58 services22 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims2,160 services$0.19 avg. paid by Medicare
Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims2,040 services$3.74 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
3 suppliers30 claims30 services$18.32 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
3 suppliers22 claims22 services$12.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Abd Assalam Qannus's NPI number?

The NPI number for Abd Assalam Qannus is 1184133746. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Abd Assalam Qannus located?

Abd Assalam Qannus practices at 22 Bramhall St Rm 5219, Portland, ME 04102. The listed phone number is (207) 662-7872.

What is Abd Assalam Qannus's specialty?

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

Is Abd Assalam Qannus enrolled in Medicare?

Yes. Abd Assalam Qannus 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.

Which organization bills Medicare for Abd Assalam Qannus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abd Assalam Qannus reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abd Assalam Qannus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abd Assalam Qannus accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Oscar Health Plan, Inc. and UnitedHealthcare list Abd Assalam Qannus 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.

When was this NPI record last updated?

The NPPES record for Abd Assalam Qannus 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.