MOHAMED A ABDULLA MD
NPI 1700820487
Pathology - Anatomic Pathology & Clinical Pathology in Wilkes Barre, PA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
575 N RIVER ST, WILKES BARRE, PA 18702(570) 552-1435(570) 552-1510 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohamed A Abdulla Md NPPES

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

MOHAMED A ABDULLA MD (NPI 1700820487) is an individual anatomic pathology & clinical pathology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD047282L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1700820487
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMOHAMED A ABDULLACredential: MD
Location Address575 N RIVER STWilkes Barre, PA 18702-2634
Mailing AddressPo Box 1476Kingston, PA 18704-0476 · (570) 288-8881 · Fax (570) 288-8065
Fax(570) 552-1510
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
NPI 1700820487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in PA · MD047282L
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.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License MD047282L (PA)
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 25MA07827100 (NJ)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 232717-1 (NY)
575 N RIVER ST, Wilkes Barre, PA 18702

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

Mohamed A Abdulla 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 ID941113831
PECOS Enrollment IDI20031107000013
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 22

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.
974 services555 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.
801 services152 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.
404 services278 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.
171 services105 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
111 services67 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
109 services104 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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 (Cardiovascular Disease)
575 N RIVER ST
WILKES BARRE, PA 18702
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18702
Rehabilitation Unit
575 N RIVER ST
WILKES BARRE, PA 18702
Surgery
575 N RIVER ST
WILKES BARRE, PA 18702
Internal Medicine (Cardiovascular Disease)
575 N RIVER ST
WILKES BARRE, PA 18702
General Acute Care Hospital
575 N RIVER ST
WILKES BARRE, PA 18702
Pathology (Clinical Pathology/Laboratory Medicine)
575 N RIVER ST
WILKES BARRE, PA 18702
Nurse Anesthetist, Certified Registered
575 N RIVER ST, ANESTHESIA DEPT
WILKES BARRE, PA 18702

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 Mohamed Abdulla's NPI number?

The NPI number for Mohamed Abdulla is 1700820487. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Mohamed Abdulla located?

Mohamed Abdulla practices at 575 N River St, Wilkes Barre, PA 18702. The listed phone number is (570) 552-1435.

What is Mohamed Abdulla's specialty?

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

Is Mohamed Abdulla enrolled in Medicare?

Yes. Mohamed Abdulla 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 Mohamed Abdulla accept?

Health plans from CareSource list Mohamed Abdulla 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 Mohamed Abdulla affiliated with any hospitals?

According to CMS data, Mohamed Abdulla is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Abdulla was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.