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DR. MARWAN ABDELRAHIM M.D.
NPI 1538693650
Internal Medicine in Oakland, CA

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1411 E 31ST ST, 2ND FLR A2, OAKLAND, CA 94602(510) 437-5039(510) 535-7313 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Marwan Abdelrahim M.d. NPPES

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

DR. MARWAN ABDELRAHIM M.D. (NPI 1538693650) is an individual internal medicine provider in Oakland, California, licensed in Florida (ME170381) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Orange Park Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1538693650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARWAN ABDELRAHIMCredential: M.D.
Location Address1411 E 31ST ST, 2ND FLR A2Oakland, CA 94602-1018
Mailing Address1411 E 31st St, 2nd Flr A2Oakland, CA 94602-1018 · (510) 437-5039 · Fax (510) 535-7313
Phone(510) 437-5039
Fax(510) 535-7313
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2017
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1538693650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME170381
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1411 E 31ST ST, Oakland, CA 94602
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Marwan Abdelrahim 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 ID9133535933
PECOS Enrollment IDI20241115003699
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

4

Medicare enrollment records show Marwan Abdelrahim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara
26 mi
Clinic/Center
2741 MIDDLEFIELD RD
Palo Alto, CA 94306
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1043354020 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1285228080 (408) 885-5000
Apogee Medical Group, P.C.
510 mi
Internal Medicine
351 SW 9TH ST
Ontario, OR 97914
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Apogee Medical Group PC
  • 70 clinicians in this Medicare group
NPI 1841461803 (541) 881-7423
Good Shepherd Health Care System
575 mi
Pediatrics
600 NW 11TH ST STE E33
Hermiston, OR 97838
  • Reassigned Medicare billing, Oregon enrollment
  • 344 clinicians in this Medicare group
NPI 1336198159 (541) 667-3740
Inpatient Consultants Of Florida, Inc
2,365 mi
Internal Medicine
2001 KINGSLEY AVE
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1396795597 (954) 377-2909

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
81 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.29
Promoting Interoperability100
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.

MS. YVONNE DIANE ESCARSEGA MSW
Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
MR. JUAN CASILLAS JR. NP
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4800
SADHANA SAMANT MD
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
PATRICIA SCOTT MEYER PA
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (209) 342-2300
NATHALIE BALOGUN MSW MPH
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Alameda County (510) 437-4949
CYNTHIA MARIE ROWDEN RN
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
DR. KAYLA ENRIQUEZ MD
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4564
DR. CHERYL LIN PARK M.D.
Surgery
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4743

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 Marwan Abdelrahim's NPI number?

The NPI number for Marwan Abdelrahim is 1538693650. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Marwan Abdelrahim located?

Marwan Abdelrahim practices at 1411 E 31st St 2nd Flr A2, Oakland, CA 94602. The listed phone number is (510) 437-5039.

What is Marwan Abdelrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marwan Abdelrahim enrolled in Medicare?

Yes. Marwan Abdelrahim 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 Marwan Abdelrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marwan Abdelrahim reassigns Medicare benefits to 4 organizations: County Of Santa Clara (Palo Alto, CA), Apogee Medical Group, P.C. (Ontario, OR), Good Shepherd Health Care System (Hermiston, OR) and Inpatient Consultants Of Florida, Inc (Orange Park, FL). 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 Marwan Abdelrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marwan Abdelrahim affiliated with any hospitals?

According to CMS data, Marwan Abdelrahim is affiliated with Hca Florida Orange Park Hospital.

When was this NPI record last updated?

The NPPES record for Marwan Abdelrahim was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.