AMUTALLAH ABDUSSALAAM AGNP-C
NPI 1396553780
Nurse Practitioner - Adult Health in Portsmouth, VA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Amutallah Abdussalaam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 214 clinicians in this Medicare group
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 207 clinicians in this Medicare group
Richmond, VA 23227
- Reassigned Medicare billing, Virginia enrollment
- 386 clinicians in this Medicare group
Woodbridge, VA 22191
- Reassigned Medicare billing, Virginia enrollment
- 34 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.
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, VAPhysician 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTSMOUTH, VA 23707
PORTSMOUTH, VA 23707
PORTSMOUTH, VA 23707
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.
Which organizations bill Medicare for Amutallah Abdussalaam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amutallah Abdussalaam reassigns Medicare benefits to 4 organizations: Mid-Atlantic Post Acute & Long Term Care PLLC (Norfolk, VA), SE Virginia Value Based Care, LLC (Norfolk, VA), Bon Secours Medical Group Hampton Roads Specialty Care LLC (Richmond, VA) and Alliance Medical Team LLC (Woodbridge, VA). 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 Amutallah Abdussalaam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amutallah Abdussalaam accept?
Health plans from Oscar Health list Amutallah Abdussalaam 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 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 22 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.
# Amutallah Abdussalaam, AGNP-C · NPI 1396553780
Adult Health physician in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since December 18, 2024.
## Identity
- **NPI:** 1396553780 (Entity type: Individual)
- **Enumerated:** December 18, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 0024192072 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3640 HIGH ST STE 1E, Portsmouth, VA 23707-3213
- **Phone:** (757) 399-2639
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mid-Atlantic Post Acute & Long Term Care PLLC (NPI 1225557556, Norfolk, VA); SE Virginia Value Based Care, LLC (NPI 1225720501, Norfolk, VA); Bon Secours Medical Group Hampton Roads Specialty Care LLC (NPI 1629637475, Richmond, VA); Alliance Medical Team LLC (NPI 1417792599, Woodbridge, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396553780) · Data from the CMS NPPES public registry.