DR. WAHEED ABDUL MD
NPI 1558737981
Hospitalist in Wilkes Barre, PA
About Dr. Waheed Abdul Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WAHEED ABDUL MD (NPI 1558737981) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD484209) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Geisinger-lewistown Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Waheed Abdul Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Waheed Abdul reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18711
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Muncy, PA 17756
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,405 clinicians in this Medicare group
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 240 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 915 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Lewistown Hospital
Acute Care Hospitals · Lewistown, PASsm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
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 Waheed Abdul's NPI number?
The NPI number for Waheed Abdul is 1558737981. It was assigned to this individual provider in the NPPES registry on August 19, 2015.
Where is Waheed Abdul located?
Waheed Abdul practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7399.
What is Waheed Abdul's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Waheed Abdul enrolled in Medicare?
Yes. Waheed Abdul 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 Waheed Abdul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Waheed Abdul reassigns Medicare benefits to 4 organizations: Geisinger Clinic (Wilkes Barre, PA), Geisinger-Hm Joint Venture LLC (Muncy, PA), Apogee Medical Group Inc (Phoenix, AZ) and South Sound Inpatient Physicians PLLC (Spokane, WA). 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 Waheed Abdul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Waheed Abdul accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Arizona and Providence Health Plan list Waheed Abdul 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.
Is Waheed Abdul affiliated with any hospitals?
According to CMS data, Waheed Abdul is affiliated with Geisinger-Lewistown Hospital and Ssm Health St Mary's Hospital - Madison.
When was this NPI record last updated?
The NPPES record for Waheed Abdul was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Waheed Abdul, MD · NPI 1558737981
Hospitalist physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 19, 2015.
## Identity
- **NPI:** 1558737981 (Entity type: Individual)
- **Enumerated:** August 19, 2015
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD484209 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711-0027
- **Phone:** (570) 808-7399 · **Fax:** (570) 808-5942
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1366492902, Wilkes Barre, PA); Geisinger-Hm Joint Venture LLC (NPI 1952076119, Muncy, PA); Apogee Medical Group Inc (NPI 1205883725, Phoenix, AZ); South Sound Inpatient Physicians PLLC (NPI 1275785107, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558737981) · Data from the CMS NPPES public registry.