DR. HASAN ABDALLAH MD
NPI 1477504413
Specialist in Reston, VA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since May 15, 2006PECOS Enrolled

1830 TOWN CENTER DR, SUITE #303, RESTON, VA 20190(703) 481-5801(703) 481-5804 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Hasan Abdallah Md NPPES

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

DR. HASAN ABDALLAH MD (NPI 1477504413) is an individual specialist in Reston, Virginia, licensed in Virginia (0101058336) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477504413

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. HASAN ABDALLAHCredential: MD

Location Address1830 TOWN CENTER DR, SUITE #303Reston, VA 20190-3292

Mailing Address19465 Deerfield Ave, Suite #310Leesburg, VA 20176-1701 · (703) 724-4003 · Fax (703) 724-4408

Phone(703) 481-5801

Fax(703) 481-5804

Sole ProprietorNo

Enumeration DateMay 15, 2006

Last NPPES UpdateSeptember 17, 2010

✔ NPI 1477504413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0101058336

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 0101058336 (VA)

1830 TOWN CENTER DR, Reston, VA 20190

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF63079VA

Medicaid006716512VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hasan Abdallah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.