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AHMAD ABDELAAL MD
NPI 1255880738
Surgery in Bronx, NY

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment
1400 PELHAM PKWY S, BRONX, NY 10461(718) 696-2583 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2021, Apr 2, 2020, Jul 4, 2019 and 1 more (4 updates tracked since 2016).

About Ahmad Abdelaal Md NPPES

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

AHMAD ABDELAAL MD (NPI 1255880738) is an individual surgery provider in Bronx, New York, licensed in Ohio (35.136810) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Community Hospitals And Wellness Centers, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255880738
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameAHMAD ABDELAALCredential: MD
Location Address1400 PELHAM PKWY SBronx, NY 10461-1197
Mailing Address4234 Talwood LnToledo, OH 43606-1062 · (901) 340-2004
Phone(718) 696-2583
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 26, 2016
Last NPPES UpdateJanuary 7, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1255880738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.136810
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License 35.136810 (OH)
Also ListedTransplant SurgeryTaxonomy 204F00000X · License MD458391 (PA)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 35.136810 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1400 PELHAM PKWY S, Bronx, NY 10461
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11015 Chestnut St Ste 620Philadelphia, PA 19107-4306 · Phone (215) 955-6864
Location 24234 Talwood LnToledo, OH 43606-1062 · Phone (419) 973-3701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Paramount.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

Ahmad Abdelaal 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 ID244519973
PECOS Enrollment IDI20190816001712
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

2

Medicare enrollment records show Ahmad Abdelaal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fchc Medical Care, LLC
538 mi
Multi-Specialty
725 S SHOOP AVE
Wauseon, OH 43567
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
NPI 1598821175 (419) 335-2015
Dhhs, Phs, Naihs, Shiprock Hospital
1,853 mi
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1760427587 (505) 368-6401

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 7

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 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.
61 services56 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.
44 services36 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.
33 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
30 services30 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services28 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

CAROLYN COLE
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5820
RYAN JOHNY PHARM. D
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-4557
DR. SARAH G JAMISON MD
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
SWETHA PEDAVALLY M.D
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Bronx County (718) 918-7460
MS. ODESSA FYNN CM
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Bronx County (718) 918-3060
DR. PATRICK SPENCER EIBEN M.D.
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
DR. ADAM JOSEPH GERSHON MD
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000
EDIRICARDO RODRIGUEZ ORTIZ MD
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000

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 Ahmad Abdelaal's NPI number?

The NPI number for Ahmad Abdelaal is 1255880738. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is Ahmad Abdelaal located?

Ahmad Abdelaal practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 696-2583.

What is Ahmad Abdelaal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ahmad Abdelaal enrolled in Medicare?

Yes. Ahmad Abdelaal 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 Ahmad Abdelaal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Abdelaal reassigns Medicare benefits to 2 organizations: Fchc Medical Care, LLC (Wauseon, OH) and Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). 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 Ahmad Abdelaal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmad Abdelaal accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Paramount list Ahmad Abdelaal 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 Ahmad Abdelaal affiliated with any hospitals?

According to CMS data, Ahmad Abdelaal is affiliated with Community Hospitals And Wellness Centers and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Ahmad Abdelaal was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.