DR. AHMAD ISSAM MAHMOUD ABUALSOUD MBBCH
NPI 1235611005
Otolaryngology in Bethlehem, PA

Q: What is Ahmad Abualsoud's NPI number?

The NPI number for Ahmad Abualsoud is 1235611005. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Q: What is Ahmad Abualsoud's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Ahmad Abualsoud was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

3445 HIGH POINT BLVD STE 400, BETHLEHEM, PA 18017(610) 866-5555(610) 866-3151 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2022, Aug 29, 2018 (2 updates tracked since 2018).

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About Dr. Ahmad Issam Mahmoud Abualsoud Mbbch NPPES

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

DR. AHMAD ISSAM MAHMOUD ABUALSOUD MBBCH (NPI 1235611005) is an individual otolaryngology provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD473596) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235611005

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. AHMAD ISSAM MAHMOUD ABUALSOUDCredential: MBBCH

Location Address3445 HIGH POINT BLVD STE 400Bethlehem, PA 18017-7817

Mailing Address3445 High Point Blvd Ste 400Bethlehem, PA 18017-7817 · (610) 866-5555 · Fax (610) 866-3151

Phone(610) 866-5555

Fax(610) 866-3151

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 29, 2018

Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration

NPPES CertifiedDecember 1, 2022

✔ NPI 1235611005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in PA · MD473596✔ Licensed in PA · MD

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License MD473596 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3445 HIGH POINT BLVD STE 400, Bethlehem, PA 18017

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Ahmad Issam Mahmoud Abualsoud Mbbch 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 ID1456760982

PECOS Enrollment IDI20210512002216

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 Reassignments

Medicare enrollment records show Ahmad Abualsoud reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialty Physician Associates, LLC

Same address

Otolaryngology

3445 HIGH POINT BLVD., SUITE 400
Bethlehem, PA 18017

Reassigned Medicare billing, Pennsylvania enrollment
43 clinicians in this Medicare group

NPI 1487960639 (610) 866-5555

St Luke's Physician Group Inc

1.4 mi

Urology

5325 NORTHGATE DR STE 203
Bethlehem, PA 18017

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1003326869 (610) 867-3171

Star Community Health, Inc

4.0 mi

General Practice

511 E 3RD ST STE 202
Bethlehem, PA 18015

Reassigned Medicare billing, Pennsylvania enrollment
318 clinicians in this Medicare group

NPI 1033686159 (484) 526-4700

St. Luke's Warren Physician Group, PC

13 mi

Colon & Rectal Surgery

123 ROSEBERRY ST
Phillipsburg, NJ 08865

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Lukes Warren Physician Group PC
528 clinicians in this Medicare group

NPI 1043635733 (610) 866-2600

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 16

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.

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.

290 services225 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

247 services183 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

208 services161 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.

176 services176 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

175 services133 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

131 services131 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

118 services95 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

82 services82 patients

Control of bleeding of nose using an endoscope 31238

This is a procedure where an endoscope, a thin tube with a light and camera, is used to view inside your nose. This allows the doctor to locate the source of the bleeding and control it, often by cauterization or packing the nose.

56 services47 patients

Incision of fluid canal of inner ear with infusion of drugs 69801

This procedure involves making a small cut in the inner ear's fluid canal. Medication is then infused directly into this area. It's often used to treat certain ear conditions or hearing issues. Rest assured, it's done under professional supervision.

43 services15 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

43 services15 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

35 services32 patients

Exam of the nose and throat using an endoscope 92511

An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.

34 services31 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

30 services22 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

18 services17 patients

Incision, aspiration, and/or inflation of eardrum 69420

This procedure involves making a small cut in the eardrum to relieve pressure, remove fluid, or insert a tiny tube. It can help in conditions like chronic ear infections or hearing loss. It's a common, quick, and typically painless procedure.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18017 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 18

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

SHRIYA AIREN MD

Otolaryngology