MAMDOU ABOUSAMRA DPM
NPI 1700104056
Podiatrist - Foot & Ankle Surgery in Astoria, NY

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
2519 30TH DR STE 1L, ASTORIA, NY 11102(646) 421-9356 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mamdou Abousamra Dpm NPPES

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

MAMDOU ABOUSAMRA DPM (NPI 1700104056) is an individual foot & ankle surgery provider in Astoria, New York, licensed in New York (N006502) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1700104056
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMAMDOU ABOUSAMRACredential: DPM
Location Address2519 30TH DR STE 1LAstoria, NY 11102-2701
Mailing Address2519 30th Dr Ste 1lAstoria, NY 11102-2701 · (646) 421-9356
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2010
Enumeration DateMay 11, 2010
Last NPPES UpdateDecember 31, 2019
NPI 1700104056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · N006502
2519 30TH DR STE 1L, Astoria, NY 11102

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

Mamdou Abousamra Dpm 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 ID8426287376
PECOS Enrollment IDI20140219000261
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 10

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
187 services162 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
180 services158 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
147 services147 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
92 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services35 patients
Biopsy of fingernail or toenail 11755
A biopsy of a fingernail or toenail is a medical procedure where a small piece of your nail or the tissue under it is removed for testing. This can help diagnose conditions like infections or skin diseases. The area is numbed for your comfort during the process.
50 services49 patients

Other Providers at the Same Location NPPES 2

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

Podiatrist
2519 30TH DR STE 1L
ASTORIA, NY 11102
Otolaryngology
2519 30TH DR STE 1L
ASTORIA, NY 11102

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 Mamdou Abousamra's NPI number?

The NPI number for Mamdou Abousamra is 1700104056. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Mamdou Abousamra located?

Mamdou Abousamra practices at 2519 30th Dr Ste 1L, Astoria, NY 11102. The listed phone number is (646) 421-9356.

What is Mamdou Abousamra's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mamdou Abousamra enrolled in Medicare?

Yes. Mamdou Abousamra 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 Mamdou Abousamra was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.