AJAY PRAKASH ABAD MD
NPI 1639311244
Psychiatry & Neurology - Neurology in Buffalo, NY

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
ELM AND CARLTON STREETS, BUFFALO, NY 14263(716) 845-2300(716) 845-4704 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2020, Jun 11, 2019 (2 updates tracked since 2019).

About Ajay Prakash Abad Md NPPES

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

AJAY PRAKASH ABAD MD (NPI 1639311244) is an individual neurology provider in Buffalo, New York, licensed in New York (271072) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2009).

NPPES Registry Identity

NPI1639311244
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameAJAY PRAKASH ABADCredential: MD
Location AddressELM AND CARLTON STREETSBuffalo, NY 14263-0001
Mailing AddressElm And Carlton StreetsBuffalo, NY 14263-0001 · (716) 845-2300 · Fax (716) 845-4704
Fax(716) 845-4704
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateDecember 16, 20202 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
NPI 1639311244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 271072
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
ELM AND CARLTON STREETS, Buffalo, NY 14263

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

Ajay Prakash Abad 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 ID8022236843
PECOS Enrollment IDI20140820000746
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 4

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.
63 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 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.
12 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 2

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

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
5 suppliers15 claims3,872 services$0.37 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers12 claims12 services$19.04 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.

Internal Medicine
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Pathology (Clinical Pathology/Laboratory Medicine)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Dentist (Prosthodontics)
ELM AND CARLTON STREETS
BUFFA;P, NY 14263
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Physician Assistant
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Physician Assistant (Medical)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Surgery (Surgical Oncology)
ELM AND CARLTON STREETS
BUFFALO, NY 14263

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 Ajay Abad's NPI number?

The NPI number for Ajay Abad is 1639311244. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Ajay Abad located?

Ajay Abad practices at Elm And Carlton Streets, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Ajay Abad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ajay Abad enrolled in Medicare?

Yes. Ajay Abad 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.

When was this NPI record last updated?

The NPPES record for Ajay Abad was last updated on December 16, 2020. 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.