DR. MICHAEL ABDELMISSEH MD
NPI 1225529241
Pediatrics in Dyersburg, TN

Active since May 24, 2018PECOS Enrolled
1720 WOODLAWN AVE, DYERSBURG, TN 38024(731) 287-4500(731) 287-4585 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2021, Oct 6, 2021, May 24, 2018 (3 updates tracked since 2018).

About Dr. Michael Abdelmisseh Md NPPES

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

DR. MICHAEL ABDELMISSEH MD (NPI 1225529241) is an individual pediatrics provider in Dyersburg, Tennessee, licensed in Tennessee (62642) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madera.

NPPES Registry Identity

NPI1225529241
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHAEL ABDELMISSEHCredential: MD
Location Address1720 WOODLAWN AVEDyersburg, TN 38024
Mailing Address1720 Woodlawn AveDyersburg, TN 38024-1300 · (731) 287-4500
Fax(731) 287-4585
Sole ProprietorNo
Enumeration DateMay 24, 2018
Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
NPI 1225529241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TN · 62642
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1720 WOODLAWN AVE, Dyersburg, TN 38024

Secondary Practice Location 1

Location 19300 Valley Childrens PlMadera, CA 93636 · Phone (559) 353-5141

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 (PECOS)

Dr. Michael Abdelmisseh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38024 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 4

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

Pediatrics
1720 WOODLAWN AVE
DYERSBURG, TN 38024
Nurse Practitioner
1720 WOODLAWN AVE
DYERSBURG, TN 38024
Social Worker (Clinical)
1720 WOODLAWN AVE
DYERSBURG, TN 38024
Nurse Practitioner (Family)
1720 WOODLAWN AVE
DYERSBURG, TN 38024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225529241, enumerated as an "individual" on May 24, 2018.

The provider is located at 1720 WOODLAWN AVE DYERSBURG, TN 38024 and the phone number is (731) 287-4500.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.