DORI NICOLE ABEL MD, MSHP
NPI 1477058154
Pediatrics - Pediatric Rheumatology in Rochester, MN
NPI Status: Active since March 26, 2018
Contact Information
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511
Fax: (507) 284-0702
- Individual
- Female
- Years of Experience 8
- Pediatrics
- Pediatric Rheumatology
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About DORI ABEL
This page provides the complete NPI Profile along with additional information for Dori Abel, a pediatrician established in Rochester, Minnesota with a medical specialization in Pediatrics, focusing in pediatric rheumatology and more than 8 years of experience. She graduated from Georgetown University School Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1477058154 assigned on March 2018. The practitioner's primary taxonomy code is 2080P0216X with license number 79721 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1477058154
- Provider Name
- DORI NICOLE ABEL MD, MSHP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 1ST ST SW ROCHESTER, MN 55905
- Location Phone
- (507) 284-2511
- Location Fax
- (507) 284-0702
- Mailing Address
- POB 860912 MINNEAPOLIS, MN 55486
- Mailing Phone
- (507) 284-2511
- Medical School Name
- GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2018
- Last Update Date
- 09-22-2025
- Code Navigator
A pediatrician like Dori Abel is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 3401 Civic Center Blvd Division of Pediatric Rheumatology
Philadelphia, PA 19104
(215) 590-7180
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Rheumatology
- Taxonomy Code
- 2080P0216X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 79721
- License State
- MN
- Taxonomy Description
- A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0216X | Allopathic & Osteopathic Physicians | Pediatrics | MT222180 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Dori Abel is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Dori Abel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3971009762
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251001000955
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477058154, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROCHESTER, MN 55905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477058154, enumerated as an "individual" on March 26, 2018.
The provider is located at 200 1ST ST SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.
Pediatrics with taxonomy code 2080P0216X and a focus in Pediatric Rheumatology.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
