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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ABUBAKER ABDALLA MD
NPI 1194187617
Hospitalist in Milwaukee, WI

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-3310(414) 805-3885 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2021, Aug 11, 2020, Jul 6, 2020 and 3 more (6 updates tracked since 2016).

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 Essentia Health St Joseph's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194187617
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ABUBAKER ABDALLACredential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-3310 · Fax (414) 805-3885
Phone(414) 805-3310
Fax(414) 805-3885
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 23, 2016
Last NPPES UpdateJuly 1, 20266 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1194187617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WI · 103874-875✔ Licensed in MN · 66350
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 103874-875 (WI), 66350 (MN)
9200 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11155 Mill St # W11Reno, NV 89502-1576 · Phone (775) 327-5174 · Fax (775) 327-5178
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Other Identifiers 1

Medicaid1194187617WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Molina Healthcare.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

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.

PECOS PAC ID6406141829
PECOS Enrollment IDI20250623003004
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.

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Physician 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.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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.

What insurance does Abubaker Abdalla accept?

Health plans from CareSource, Medica and Molina Healthcare 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 Essentia Health St Joseph's Medical Center and Akron General Medical Center.

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 42 days 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.