HALA ABDUL-AL M.D.
NPI 1376934893
Pathology - Anatomic Pathology in Staten Island, NY

Active since February 05, 2015PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hala Abdul-al M.d. NPPES

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

HALA ABDUL-AL M.D. (NPI 1376934893) is an individual anatomic pathology provider in Staten Island, New York, licensed in New York (277910) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1376934893
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameHALA ABDUL-ALCredential: M.D.
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 226-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 5, 2015
✔ NPI 1376934893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in NY · 277910✔ Licensed in VA · 0101255219✔ Licensed in DC · MD040278
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
475 SEAVIEW AVE, Staten Island, NY 10305

Accepted 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

Hala Abdul-al M.d. 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 ID8426483199
PECOS Enrollment IDI20200128000333
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 Hala Abdul-al reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
167F W MAIN RD
Conneaut, OH 44030
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group

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 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
417 services197 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
102 services93 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
84 services26 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
65 services26 patients
Evaluation of fine needle aspirate 88172
Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).
57 services19 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
47 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Summa Western Reserve Hospital

Acute Care Hospitals · Cuyahoga Falls, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360150
Location1900 23rd StreetCuyahoga Falls, OH 44223 · Summit County
Emergency services

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305

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 Hala Abdul-al's NPI number?

The NPI number for Hala Abdul-al is 1376934893. It was assigned to this individual provider in the NPPES registry on February 5, 2015.

Where is Hala Abdul-al located?

Hala Abdul-al practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9000.

What is Hala Abdul-al's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Hala Abdul-al enrolled in Medicare?

Yes. Hala Abdul-al 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 Hala Abdul-al's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hala Abdul-al reassigns Medicare benefits to 2 organizations: University Primary Care Practices Inc (Conneaut, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Hala Abdul-al's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hala Abdul-al accept?

Health plans from CareSource list Hala Abdul-al 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 Hala Abdul-al affiliated with any hospitals?

According to CMS data, Hala Abdul-al is affiliated with Uh Regional Hospitals, University Hospitals Portage Medical Center, Uh Cleveland Medical Center, Summa Western Reserve Hospital and University Hospitals Ahuja Medical Center.

When was this NPI record last updated?

The NPPES record for Hala Abdul-al was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.