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AMUTALLAH ABDUSSALAAM AGNP-C
NPI 1396553780
Nurse Practitioner - Adult Health in Portsmouth, VA

Active since December 18, 2024PECOS EnrolledAccepts Medicare Assignment
3640 HIGH ST STE 1E, PORTSMOUTH, VA 23707(757) 399-2639 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amutallah Abdussalaam Agnp-c NPPES

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

AMUTALLAH ABDUSSALAAM AGNP-C (NPI 1396553780) is an individual adult health provider in Portsmouth, Virginia, licensed in Virginia (0024192072) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396553780
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMUTALLAH ABDUSSALAAMCredential: AGNP-C
Location Address3640 HIGH ST STE 1EPortsmouth, VA 23707-3213
Mailing Address3640 High St Ste 1ePortsmouth, VA 23707-3213 · (757) 399-2639
Phone(757) 399-2639
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1396553780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in VA · 0024192072
3640 HIGH ST STE 1E, Portsmouth, VA 23707
Open in Google Maps ↗

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

Amutallah Abdussalaam Agnp-c 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 ID5496270241
PECOS Enrollment IDI20250415001335
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.

Hospital Affiliations CMS Care Compare

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23707 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

NORMAN A HETZLER JR. MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3640 HIGH ST STE 1E
PORTSMOUTH, VA 23707
Portsmouth City (757) 398-2222
DR. GEETANJLI SANGWAN M.D.
Internal Medicine (Cardiovascular Disease)
3640 HIGH ST STE 1E
PORTSMOUTH, VA 23707
Portsmouth City (757) 399-2639

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 Amutallah Abdussalaam's NPI number?

The NPI number for Amutallah Abdussalaam is 1396553780. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Amutallah Abdussalaam located?

Amutallah Abdussalaam practices at 3640 High St Ste 1E, Portsmouth, VA 23707. The listed phone number is (757) 399-2639.

What is Amutallah Abdussalaam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amutallah Abdussalaam enrolled in Medicare?

Yes. Amutallah Abdussalaam 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.

Is Amutallah Abdussalaam affiliated with any hospitals?

According to CMS data, Amutallah Abdussalaam is affiliated with Bon Secours Maryview Medical Center.

When was this NPI record last updated?

The NPPES record for Amutallah Abdussalaam was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.