ANTHONY JASSEIM ABDULLAH M.D.
NPI 1457319386
Emergency Medicine in Hamilton, OH

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
630 EATON AVE, HAMILTON, OH 45013(513) 867-2270(513) 867-2581 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2019, Mar 12, 2019 (2 updates tracked since 2019).

About Anthony Jasseim Abdullah M.d. NPPES

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

ANTHONY JASSEIM ABDULLAH M.D. (NPI 1457319386) is an individual emergency medicine provider in Hamilton, Ohio, licensed in Ohio (35083312A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1457319386
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTHONY JASSEIM ABDULLAHCredential: M.D.
Location Address630 EATON AVEHamilton, OH 45013-2767
Mailing Address5112 Griffis Lake DrLiberty Twp, OH 45011-5919
Fax(513) 867-2581
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2002
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration
✔ NPI 1457319386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35083312A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
630 EATON AVE, Hamilton, OH 45013

Secondary Practice Locations 5

Location 1100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 436-4658
Location 26147 State Route 122Middletown, OH 45005-5201 · Phone (937) 436-4658
Location 31997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 436-4658
Location 44000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 436-4658
Location 53535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 436-4658

Other Identifiers 1

Medicaid2463383OH

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

Anthony Jasseim Abdullah 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 ID8527950195
PECOS Enrollment IDI20040327000410
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

7

Medicare enrollment records show Anthony Abdullah reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6147 STATE ROUTE 122
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Ohio enrollment
  • 98 clinicians in this Medicare group
Nurse Practitioner
3958 BROWN PARK DR STE D
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 82 clinicians in this Medicare group
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Ohio enrollment
  • 104 clinicians in this Medicare group
Emergency Medicine
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 277 clinicians in this Medicare group
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Ohio enrollment
  • 134 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 3

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45013 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

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.

Anesthesiology
630 EATON AVE
HAMILTON, OH 45013
Psychiatry & Neurology (Psychiatry)
630 EATON AVE
HAMILTON, OH 45013
Pharmacist
630 EATON AVE
HAMILTON, OH 45013
Emergency Medicine
630 EATON AVE
HAMILTON, OH 45013
Physician Assistant
630 EATON AVE
HAMILTON, OH 45013
Internal Medicine
630 EATON AVE
HAMILTON, OH 45013
Emergency Medicine
630 EATON AVE
HAMILTON, OH 45013
Dietitian, Registered
630 EATON AVE
HAMILTON, OH 45013

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 Anthony Abdullah's NPI number?

The NPI number for Anthony Abdullah is 1457319386. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Anthony Abdullah located?

Anthony Abdullah practices at 630 Eaton Ave, Hamilton, OH 45013. The listed phone number is (513) 867-2270.

What is Anthony Abdullah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anthony Abdullah enrolled in Medicare?

Yes. Anthony Abdullah 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 Anthony Abdullah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Abdullah reassigns Medicare benefits to 7 organizations: Emergency Medicine Specialists, Inc. (Middletown, OH), Emergency Professional Services, Inc. (Seaman, OH), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs - Ohio LLC (Hilliard, OH), Eventus Ecs, Inc (Indianapolis, IN) and 2 more organizations, listed in the Medicare section above. 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 Anthony Abdullah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Abdullah accept?

Health plans from CareSource and Paramount list Anthony Abdullah 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 Anthony Abdullah affiliated with any hospitals?

According to CMS data, Anthony Abdullah is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Anthony Abdullah was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.