ADEL BOUTROS ABI-HANNA MD - NPI 1629014576 - Pediatrics in San Jose, CA

Q: What is Adel Abi-hanna's NPI number?

The NPI number for Adel Abi-hanna is 1629014576. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Adel Abi-hanna's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Adel Abi-hanna was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Adel Boutros Abi-hanna Md NPPES

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

ADEL BOUTROS ABI-HANNA MD (NPI 1629014576) is an individual pediatric gastroenterology provider in San Jose, California, licensed in California (A69355) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1629014576

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameADEL BOUTROS ABI-HANNACredential: MD

Location Address2577 SAMARITAN DR STE 725San Jose, CA 95124-4105

Mailing AddressPo Box 276950Sacramento, CA 95827-6950

Phone(650) 853-4933

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJune 21, 2006

Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1629014576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in CA · A69355

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

2577 SAMARITAN DR STE 725, San Jose, CA 95124

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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 and accepts Medicare assignment

Adel Boutros Abi-hanna 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 ID7012208515

PECOS Enrollment IDI20160613002516

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 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

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 8

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

LAUREL ANN HAEUSSLEIN RN, NP

Nurse Practitioner