ABDRAHIM ALOUD M.D.
NPI 1699179556
Internal Medicine - Critical Care Medicine in Decatur, GA

Active since October 21, 2014PECOS EnrolledAccepts Medicare Assignment
450 N CANDLER ST, DECATUR, GA 30030(415) 532-5235 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2024, Jul 21, 2022, May 5, 2021 and 8 more (11 updates tracked since 2016).

About Abdrahim Aloud M.d. NPPES

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

ABDRAHIM ALOUD M.D. (NPI 1699179556) is an individual critical care medicine provider in Decatur, Georgia, licensed in Georgia (85593) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1699179556
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameABDRAHIM ALOUDCredential: M.D.
Location Address450 N CANDLER STDecatur, GA 30030-2626
Mailing Address3601 4th St, Stop 6211Lubbock, TX 79430-6211 · (806) 743-2978 · Fax (806) 743-1559
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 21, 2014
Last NPPES UpdateApril 5, 202411 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1699179556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in GA · 85593✔ Licensed in WI · 72159
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 72159 (WI), 85593 (GA)
450 N CANDLER ST, Decatur, GA 30030

Secondary Practice Location 1

Location 13601 4th St Stop 6211Lubbock, TX 79430 · Phone (806) 743-2978 · Fax (806) 743-1559

Other Identifiers 1

Medicaid1699179556WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abdrahim Aloud 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 ID5991097602
PECOS Enrollment IDI20170717001513
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Abdrahim Aloud reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
450 N CANDLER ST
Decatur, GA 30030
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
Family Medicine
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 466 clinicians in this Medicare group
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
Internal Medicine
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 335 clinicians in this Medicare group
Critical Care Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 89 clinicians in this Medicare group
Family Medicine
2480 HWY 72 N
Loudon, TN 37774
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
Multi-Specialty
140 W 7TH ST
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 124 clinicians in this Medicare group
Clinic/Center
6150 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
Critical Care Medicine
710 CYPRESS CREEK PKWY
Houston, TX 77090
  • Reassigned Medicare billing, Texas enrollment
  • 88 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
93 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450638
Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$80.12 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 9

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

Long Term Care Hospital
450 N CANDLER ST
DECATUR, GA 30030
Physical Therapist
450 N CANDLER ST
DECATUR, GA 30030
Nurse Practitioner (Acute Care)
450 N CANDLER ST
DECATUR, GA 30030
Hospitalist
450 N CANDLER ST
DECATUR, GA 30030
Home Health
450 N CANDLER ST
DECATUR, GA 30030
Family Medicine
450 N CANDLER ST, 6TH FLOOR
DECATUR, GA 30030
Pharmacist
450 N CANDLER ST
DECATUR, GA 30030
Internal Medicine
450 N CANDLER ST
DECATUR, GA 30030

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 Abdrahim Aloud's NPI number?

The NPI number for Abdrahim Aloud is 1699179556. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Abdrahim Aloud located?

Abdrahim Aloud practices at 450 N Candler St, Decatur, GA 30030. The listed phone number is (415) 532-5235.

What is Abdrahim Aloud's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Abdrahim Aloud enrolled in Medicare?

Yes. Abdrahim Aloud 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.

Which organizations bill Medicare for Abdrahim Aloud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdrahim Aloud reassigns Medicare benefits to 10 organizations: Vituity-Georgia Intensivists PC (Decatur, GA), Northside Primary Care Professional Services,llc (Atlanta, GA), Gwinnett Physician Group, LLC (Lawrenceville, GA), Apogee Medical Group Georgia Inc (Carrollton, GA), Sound Physicians Intensivists Of Georgia PC (Macon, GA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdrahim Aloud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdrahim Aloud accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health and Oscar Insurance Company list Abdrahim Aloud 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 Abdrahim Aloud affiliated with any hospitals?

According to CMS data, Abdrahim Aloud is affiliated with Hca Houston Healthcare Northwest.

When was this NPI record last updated?

The NPPES record for Abdrahim Aloud was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.