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DR. AMER KHALED ABU ALFA M.D.
NPI 1679697775
Pathology - Anatomic Pathology & Clinical Pathology in Burlington, VT

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
89 BEAUMONT AVE, BURLINGTON, VT 05405(802) 656-0359 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amer Khaled Abu Alfa M.d. NPPES

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

DR. AMER KHALED ABU ALFA M.D. (NPI 1679697775) is an individual anatomic pathology & clinical pathology provider in Burlington, Vermont, licensed in Vermont (042.0014289) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1679697775
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. AMER KHALED ABU ALFACredential: M.D.
Location Address89 BEAUMONT AVEBurlington, VT 05405-6147
Mailing Address60 Sunset Hill DrMonroe, CT 06468-3331 · (203) 501-3878
Phone(802) 656-0359
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 16, 2007
Last NPPES UpdateApril 8, 2019
✔ NPI 1679697775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in VT · 042.0014289✔ Licensed in CT · 034925
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
89 BEAUMONT AVE, Burlington, VT 05405
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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.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

Dr. Amer Khaled Abu Alfa 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 ID6204178171
PECOS Enrollment IDI20190424001217
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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,383 services647 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
178 services52 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
97 services81 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
89 services88 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
84 services76 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
40 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471304
Location189 Prouty DriveNewport, VT 05855 · Orleans County
Emergency services

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05405 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 12

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

SIDIKA KAJTEZOVIC
Student in an Organized Health Care Education/Training Program
89 BEAUMONT AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2154
ADAM BOAKE THOMPSON
Student in an Organized Health Care Education/Training Program
89 BEAUMONT AVE
BURLINGTON, VT 05405
Chittenden County (612) 810-2601
KARTHEEK BATCHU
Student in an Organized Health Care Education/Training Program
89 BEAUMONT AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2156
MR. GURPREET SINGH LAMBA M.B.B.S.
Internal Medicine (Hematology & Oncology)
89 BEAUMONT AVE, GIVEN E 214
BURLINGTON, VT 05405
Chittenden County (802) 656-5482
NICK JOWKAR
Clinic/Center (Student Health)
89 BEAUMONT AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2156
MARIE KIMBERLY YU LIM
Student in an Organized Health Care Education/Training Program
89 BEAUMONT AVE
BURLINGTON, VT 05405
Chittenden County (802) 391-0983
DR. MICHELLE MARIE SOWDEN DO
Surgery
89 BEAUMONT AVE, GIVEN BUILDING - B227
BURLINGTON, VT 05405
Chittenden County (802) 656-5880
JONATHAN PALMER FEE
Student in an Organized Health Care Education/Training Program
89 BEAUMONT AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2156

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 Amer Abu Alfa's NPI number?

The NPI number for Amer Abu Alfa is 1679697775. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Amer Abu Alfa located?

Amer Abu Alfa practices at 89 Beaumont Ave, Burlington, VT 05405. The listed phone number is (802) 656-0359.

What is Amer Abu Alfa's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Amer Abu Alfa enrolled in Medicare?

Yes. Amer Abu Alfa 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 Amer Abu Alfa accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Amer Abu Alfa 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 Amer Abu Alfa affiliated with any hospitals?

According to CMS data, Amer Abu Alfa is affiliated with Canton-Potsdam Hospital, Univ. Of Vermont - Fletcher Allen Health Care, Northeastern Vermont Regional Hospital, North Country Hospital And Health Center and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Amer Abu Alfa was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.