DR. ABDALLAH QASIM MBBS
NPI 1205314036
Internal Medicine - Nephrology in Marshfield, WI

Active since August 02, 2018PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
1000 N OAK AVENUE, OR, MARSHFIELD, WI 54449(715) 387-5511 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2023, Aug 2, 2018 (2 updates tracked since 2018).

About Dr. Abdallah Qasim Mbbs NPPES

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

DR. ABDALLAH QASIM MBBS (NPI 1205314036) is an individual nephrology provider in Marshfield, Wisconsin, licensed in Wisconsin (81384) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1205314036
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ABDALLAH QASIMCredential: MBBS
Location Address1000 N OAK AVENUE, ORMarshfield, WI 54449-5703
Mailing Address1000 N Oak AvenueMarshfield, WI 54449-5703 · (715) 389-0636
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 2, 2018
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1205314036 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 WI · 81384
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 8221 (NE)
1000 N OAK AVENUE, Marshfield, WI 54449

Secondary Practice Location 1

Location 17710 Mercy Rd, suite 202- CU department of internal medicineOmaha, NE 68124 · Phone (402) 280-4392

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

Dr. Abdallah Qasim Mbbs 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 ID345592747
PECOS Enrollment IDI20230721001248
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 8

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.

Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
154 services47 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
61 services14 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.
61 services50 patients
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.
48 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI
OwnershipProprietary
CMS Certification Number520109
Location1050 Division StMauston, WI 53948 · Juneau County
Emergency services Birthing friendly

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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.

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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Neurology)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Otolaryngology
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Family Medicine
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Emergency Medicine
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Pediatrics (Pediatric Endocrinology)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Psychiatry & Neurology (Psychiatry)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Pediatrics (Pediatric Critical Care Medicine)
1000 N OAK AVENUE
MARSHFIELD, WI 54449
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1000 N OAK AVENUE
MARSHFIELD, WI 54449

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 Abdallah Qasim's NPI number?

The NPI number for Abdallah Qasim is 1205314036. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Abdallah Qasim located?

Abdallah Qasim practices at 1000 N Oak Avenue Or, Marshfield, WI 54449. The listed phone number is (715) 387-5511.

What is Abdallah Qasim's specialty?

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

Is Abdallah Qasim enrolled in Medicare?

Yes. Abdallah Qasim 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 Abdallah Qasim accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Abdallah Qasim 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 Abdallah Qasim affiliated with any hospitals?

According to CMS data, Abdallah Qasim is affiliated with Marshfield Medical Center, Mile Bluff Medical Center and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Abdallah Qasim was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.