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MAISAM AHMAD ABU-EL-HAIJA M.D.
NPI 1467660423
Pediatrics - Pediatric Gastroenterology in Cincinnati, OH

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE, ML 2010, CINCINNATI, OH 45229(513) 636-4415(513) 636-7805 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maisam Ahmad Abu-el-haija M.d. NPPES

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

MAISAM AHMAD ABU-EL-HAIJA M.D. (NPI 1467660423) is an individual pediatric gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (35.099849) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1467660423
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameMAISAM AHMAD ABU-EL-HAIJACredential: M.D.
Location Address3333 BURNET AVE, ML 2010Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Ml 2010Cincinnati, OH 45229-3026 · (513) 636-4415 · Fax (513) 636-7805
Phone(513) 636-4415
Fax(513) 636-7805
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 21, 2007
Last NPPES UpdateApril 23, 2018
✔ NPI 1467660423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in OH · 35.099849✔ Licensed in KY · TP533
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 35.099849 (OH)
3333 BURNET AVE, Cincinnati, OH 45229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Maisam Ahmad Abu-el-haija 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 ID3173773231
PECOS Enrollment IDI20121025000557, I20190401000370
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 Maisam Abu-el-haija reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 110 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
University Of Kentucky
75 mi
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Maisam Abu-el-haija's NPI number?

The NPI number for Maisam Abu-el-haija is 1467660423. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Maisam Abu-el-haija located?

Maisam Abu-el-haija practices at 3333 Burnet Ave Ml 2010, Cincinnati, OH 45229. The listed phone number is (513) 636-4415.

What is Maisam Abu-el-haija's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Maisam Abu-el-haija enrolled in Medicare?

Yes. Maisam Abu-el-haija 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 Maisam Abu-el-haija's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maisam Abu-el-haija reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and University Of Kentucky (Lexington, KY). 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 Maisam Abu-el-haija's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maisam Abu-el-haija accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Maisam Abu-el-haija 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.

When was this NPI record last updated?

The NPPES record for Maisam Abu-el-haija was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.