NICHOLAS JOSEPH ABDALLAH
NPI 1598450348
Student in an Organized Health Care Education/Training Program in Lakewood, OH

Active since April 07, 2023PECOS Enrolled
14601 DETROIT AVE, LAKEWOOD, OH 44107(216) 237-5500 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Joseph Abdallah NPPES

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

NICHOLAS JOSEPH ABDALLAH (NPI 1598450348) is an individual student in an organized health care education/training program in Lakewood, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598450348
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS JOSEPH ABDALLAH
Location Address14601 DETROIT AVELakewood, OH 44107-4205
Mailing Address14601 Detroit AveLakewood, OH 44107-4205 · (216) 237-5500
Sole ProprietorYes
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1598450348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
14601 DETROIT AVE, Lakewood, OH 44107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Joseph Abdallah 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Abdallah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
960 CLAGUE RD STE 1100A
Westlake, OH 44145
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 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.

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.

Student in an Organized Health Care Education/Training Program
14601 DETROIT AVE
LAKEWOOD, OH 44107
Internal Medicine (Rheumatology)
14601 DETROIT AVE, 590
LAKEWOOD, OH 44107
Psychiatry & Neurology (Neurology)
14601 DETROIT AVE, SUITE 480
LAKEWOOD, OH 44107
Student in an Organized Health Care Education/Training Program
14601 DETROIT AVE
LAKEWOOD, OH 44107
Psychiatry & Neurology (Psychiatry)
14601 DETROIT AVE, SUITE 690
LAKEWOOD, OH 44107
Student in an Organized Health Care Education/Training Program
14601 DETROIT AVE
LAKEWOOD, OH 44107
Nurse Practitioner
14601 DETROIT AVE, SUITE 540
LAKEWOOD, OH 44107
Psychologist (Clinical Child & Adolescent)
14601 DETROIT AVE
LAKEWOOD, OH 44107

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 Nicholas Abdallah's NPI number?

The NPI number for Nicholas Abdallah is 1598450348. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Nicholas Abdallah located?

Nicholas Abdallah practices at 14601 Detroit Ave, Lakewood, OH 44107. The listed phone number is (216) 237-5500.

What is Nicholas Abdallah's specialty?

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

Is Nicholas Abdallah enrolled in Medicare?

Yes. Nicholas Abdallah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Abdallah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Abdallah reassigns Medicare benefits to University Primary Care Practices Inc (Westlake, OH). The 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 Nicholas Abdallah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Abdallah accept?

Health plans from CareSource list Nicholas Abdallah 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.

When was this NPI record last updated?

The NPPES record for Nicholas Abdallah was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.