ABDULLA AKFALY MD
NPI 1619956224
Internal Medicine in Eau Claire, WI

Q: What is Abdulla Akfaly's NPI number?

The NPI number for Abdulla Akfaly is 1619956224. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Abdulla Akfaly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abdulla Akfaly was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment

733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701(715) 838-5222 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Sep 14, 2020, May 20, 2019 (3 updates tracked since 2019).

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About Abdulla Akfaly Md NPPES

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

ABDULLA AKFALY MD (NPI 1619956224) is an individual internal medicine provider in Eau Claire, Wisconsin, licensed in Wisconsin (42043) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1619956224

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameABDULLA AKFALYCredential: MD

Location Address733 W CLAIREMONT AVEEau Claire, WI 54701-6101

Mailing Address200 1st St SwRochester, MN 55905-1510 · (715) 838-5222

Phone(715) 838-5222

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJanuary 12, 2006

Last NPPES UpdateJanuary 7, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2021

✔ NPI 1619956224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 42043

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.

733 W CLAIREMONT AVE, Eau Claire, WI 54701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abdulla Akfaly 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.

PECOS PAC ID547166712

PECOS Enrollment IDI20040720000633

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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

139 services111 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

50 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Mayo Clinic Health System Oakridge

Critical Access Hospitals · Osseo, WI

OwnershipVoluntary non-profit - Other

CMS Certification Number521302

Location13025 8th StOsseo, WI 54758 · Trempealeau County

Emergency services

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521314

Location1501 Thompson StBloomer, WI 54724 · Chippewa County

Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521315

Location1222 E Woodland AveBarron, WI 54812 · Barron County

Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521340

Location2321 Stout RdMenomonie, WI 54751 · Dunn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers50 claims142 services$5.87 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers19 claims23 services$0.91 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers21 claims22 services$182.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KRISTI K FECIK PHARM D

Pharmacist

733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-5000

HOPE C. ST JEAN CNP

Nurse Practitioner

733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-3311

ANDREW E FLOREN MD

Preventive Medicine (Occupational Medicine)

733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-5222

NAMRATA MEHTA MD

Family Medicine

733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-5222

NOEL ELIZABETH KROEPLIN PA-C

Physician Assistant

733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-5222

MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC

Durable Medical Equipment & Medical Supplies

733 W CLAIREMONT AVE, SUITE PHM # 1
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-5000

MARK ALAN SWANSON APRN-FNP

Nurse Practitioner

733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-5222

JEFFREY J GROSHENS MD

Family Medicine

733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Eau Claire County (715) 838-5222

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 Abdulla Akfaly's NPI number?

The NPI number for Abdulla Akfaly is 1619956224. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Abdulla Akfaly located?

Abdulla Akfaly practices at 733 W Clairemont Ave, Eau Claire, WI 54701. The listed phone number is (715) 838-5222.

What is Abdulla Akfaly's specialty?

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

Is Abdulla Akfaly enrolled in Medicare?

Yes. Abdulla Akfaly 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.

What insurance does Abdulla Akfaly accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Abdulla Akfaly 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 Abdulla Akfaly affiliated with any hospitals?

According to CMS data, Abdulla Akfaly is affiliated with Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System Oakridge, Mayo Clinic Health System Chippewa Valley, Mayo Clinic Health System-Northland and Mayo Clinic Health System-Red Cedar Inc.

When was this NPI record last updated?

The NPPES record for Abdulla Akfaly was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.