DR. ABUBAKER ABDALLA MD
NPI 1194187617
Hospitalist in Milwaukee, WI
About Dr. Abubaker Abdalla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ABUBAKER ABDALLA MD (NPI 1194187617) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (103874-875) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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
Dr. Abubaker Abdalla 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.
Medicare Billing Reassignments
4Medicare enrollment records show Abubaker Abdalla reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Wadsworth, OH 44281
- Reassigned Medicare billing, Ohio enrollment
- 661 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Akron General Medical Center
Acute Care Hospitals · Akron, OHCommunity Memorial Hospital
Acute Care Hospitals · Menomonee Falls, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Abubaker Abdalla's NPI number?
The NPI number for Abubaker Abdalla is 1194187617. It was assigned to this individual provider in the NPPES registry on March 23, 2016.
Where is Abubaker Abdalla located?
Abubaker Abdalla practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-3310.
What is Abubaker Abdalla's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Abubaker Abdalla enrolled in Medicare?
Yes. Abubaker Abdalla 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 organizations bill Medicare for Abubaker Abdalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abubaker Abdalla reassigns Medicare benefits to 4 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Fairview Express Care (Woodbury, MN) and Partners Physician Group (Wadsworth, OH). Each 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 Abubaker Abdalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abubaker Abdalla accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Network Health list Abubaker Abdalla 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 Abubaker Abdalla affiliated with any hospitals?
According to CMS data, Abubaker Abdalla is affiliated with Akron General Medical Center, Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Abubaker Abdalla was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Abubaker Abdalla, MD · NPI 1194187617
Hospitalist physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1194187617 (Entity type: Individual)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 103874-875 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, Milwaukee, WI 53226-3522
- **Phone:** (414) 805-3310 · **Fax:** (414) 805-3885
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); Fairview Express Care (NPI 1700235587, Woodbury, MN); Partners Physician Group (NPI 1316013550, Wadsworth, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 1, 2026
- **Other identifiers:** Medicaid 1194187617 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1194187617) · Data from the CMS NPPES public registry.