BACKER MAHMOUD ABDU MD
NPI 1306366760
Internal Medicine - Gastroenterology in Sioux Falls, SD

Q: What is Backer Abdu's NPI number?

The NPI number for Backer Abdu is 1306366760. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Q: What is Backer Abdu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Backer Abdu was last updated on July 26, 2023. 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 June 26, 2017PECOS EnrolledAccepts Medicare Assignment

1205 S GRANGE AVE, SIOUX FALLS, SD 57105(605) 328-8500 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, May 10, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

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About Backer Mahmoud Abdu Md NPPES

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

BACKER MAHMOUD ABDU MD (NPI 1306366760) is an individual gastroenterology provider in Sioux Falls, South Dakota, licensed in South Dakota (13980) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1306366760

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameBACKER MAHMOUD ABDUCredential: MD

Location Address1205 S GRANGE AVESioux Falls, SD 57105-0407

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 328-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 26, 2017

Last NPPES UpdateJuly 26, 20234 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1306366760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in SD · 13980

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301111921 (MI)

1205 S GRANGE AVE, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 11205 S Grange Ave Ste 510Sioux Falls, SD 57105-0410 · Phone (605) 328-8500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Backer Mahmoud Abdu 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 ID143675652

PECOS Enrollment IDI20231018000703

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 11

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.

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.

80 services77 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.

71 services58 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.

52 services51 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

52 services52 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.

33 services33 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

20 services20 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

18 services18 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.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

MEGHAN CLEMENSEN CNP

Nurse Practitioner (Family)

1205 S GRANGE AVE
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8500

MRS. KATIE ELIZABETH LARSON MD

Pediatrics

1205 S GRANGE AVE, SUITE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

AARON M ZYLSTRA M.D.

Pediatrics

1205 S GRANGE AVE, STE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

DR. MOHAMMAD ZEESHAN QAMAR M.D

Internal Medicine (Nephrology)

1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8100

ERIC A LARSON M.D.

Internal Medicine

1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

LORI BUSCHENA

Social Worker

1205 S GRANGE AVE, SUITE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

DR. ANTHONY JEROME RUPP M.D.

Internal Medicine (Nephrology)

1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8100

TIMOTHY E HURLEY M.D.

Internal Medicine

1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

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 Backer Abdu's NPI number?

The NPI number for Backer Abdu is 1306366760. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Backer Abdu located?

Backer Abdu practices at 1205 S Grange Ave, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.

What is Backer Abdu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Backer Abdu enrolled in Medicare?

Yes. Backer Abdu 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 Backer Abdu accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Backer Abdu 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 Backer Abdu affiliated with any hospitals?

According to CMS data, Backer Abdu is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Backer Abdu was last updated on July 26, 2023. 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.