ABDALA SIRAJELDIN M.D.
NPI 1649634262
Ophthalmology in Rochester, MI

Active since April 09, 2016PECOS EnrolledAccepts Medicare Assignment
91.43/100
CMS Quality Rating
1101 W UNIVERSITY DR, 2SOUTH, ROCHESTER, MI 48307(248) 601-4900 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abdala Sirajeldin M.d. NPPES

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

ABDALA SIRAJELDIN M.D. (NPI 1649634262) is an individual ophthalmology provider in Rochester, Michigan, licensed in Michigan (4301505419) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2020).

NPPES Registry Identity

NPI1649634262
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameABDALA SIRAJELDINCredential: M.D.
Location Address1101 W UNIVERSITY DR, 2SOUTHRochester, MI 48307-1863
Mailing Address1101 W University DrRochester Hills, MI 48307-1863
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2020
Enumeration DateApril 9, 2016
Last NPPES UpdateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
NPI 1649634262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301505419
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1101 W UNIVERSITY DR, Rochester, MI 48307

Accepted 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

Abdala Sirajeldin M.d. 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 ID749672079
PECOS Enrollment IDI20220119001557
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 18

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 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.
331 services222 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
276 services249 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
150 services129 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
134 services131 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
122 services109 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
120 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.38
Promoting Interoperability100
Improvement Activities40
Cost75.04

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
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Social Worker
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Internal Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Family Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307

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 Abdala Sirajeldin's NPI number?

The NPI number for Abdala Sirajeldin is 1649634262. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Where is Abdala Sirajeldin located?

Abdala Sirajeldin practices at 1101 W University Dr 2south, Rochester, MI 48307. The listed phone number is (248) 601-4900.

What is Abdala Sirajeldin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Abdala Sirajeldin enrolled in Medicare?

Yes. Abdala Sirajeldin 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 Abdala Sirajeldin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Abdala Sirajeldin 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 Abdala Sirajeldin was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.