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DR. AMMAAR MOHAMMAD ALI ABBASI M.D.
NPI 1558005157
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 21, 2022PECOS Enrolled
3600 SPRUCE STREET, 4TH FLOOR, MALONEY BUILDING, PHILADELPHIA, PA 19104(215) 760-2693(215) 662-7983 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Jan 24, 2023, Apr 21, 2022 (3 updates tracked since 2022).

About Dr. Ammaar Mohammad Ali Abbasi M.d. NPPES

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

DR. AMMAAR MOHAMMAD ALI ABBASI M.D. (NPI 1558005157) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT225656) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558005157
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AMMAAR MOHAMMAD ALI ABBASICredential: M.D.
Location Address3600 SPRUCE STREET, 4TH FLOOR, MALONEY BUILDINGPhiladelphia, PA 19104
Mailing Address3400 Spruce Street, 4th Floor, Maloney BuildingPhiladelphia, PA 19104 · (215) 662-2016 · Fax (215) 662-7983
Phone(215) 760-2693
Fax(215) 662-7983
Sole ProprietorYes
Enumeration DateApril 21, 2022
Last NPPES UpdateJanuary 24, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1558005157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT225656
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3600 SPRUCE STREET, Philadelphia, PA 19104
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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. Ammaar Mohammad Ali Abbasi M.d. 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY R ETZKORN MD
Dermatology
3600 SPRUCE STREET, 2 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
NAOTO YOKOGAWA MD
Student in an Organized Health Care Education/Training Program
3600 SPRUCE STREET, 507 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2792
DR. KATHERINE KRISTINE BROWN MD
Dermatology
3600 SPRUCE STREET, 2 MALONEY BLDG.
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737

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 Ammaar Abbasi's NPI number?

The NPI number for Ammaar Abbasi is 1558005157. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Ammaar Abbasi located?

Ammaar Abbasi practices at 3600 Spruce Street 4th Floor, Maloney Building, Philadelphia, PA 19104. The listed phone number is (215) 760-2693.

What is Ammaar Abbasi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ammaar Abbasi enrolled in Medicare?

Yes. Ammaar Abbasi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ammaar Abbasi was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.