AHMAD ABOU YASSINE M.D
NPI 1720645310
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305(718) 226-8855(718) 226-1347 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2024, Jun 23, 2023, Jun 6, 2023 and 2 more (5 updates tracked since 2019).

About Ahmad Abou Yassine M.d NPPES

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

AHMAD ABOU YASSINE M.D (NPI 1720645310) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720645310
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAHMAD ABOU YASSINECredential: M.D
Location Address475 SEAVIEW AVENUEStaten Island, NY 10305
Mailing Address475 Seaview AvenueStaten Island, NY 10305 · (718) 226-8855 · Fax (718) 226-1347
Fax(718) 226-1347
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 20, 2019
Last NPPES UpdateFebruary 19, 20205 updates tracked since enumeration
✔ NPI 1720645310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
475 SEAVIEW AVENUE, Staten Island, NY 10305

Secondary Practice Locations 2

Location 1475 Seaview AvenueStaten Island, NY 10305 · Phone (718) 226-8855 · Fax (718) 226-1347
Location 2Msc10 5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4661 · Fax (505) 272-0475

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

Ahmad Abou Yassine 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 ID6305310608
PECOS Enrollment IDI20260707003829
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 Reassignment

Medicare enrollment records show Ahmad Abou Yassine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 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.

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

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 (Gastroenterology)
475 SEAVIEW AVENUE, DEPARTMENT OF INTERNAL MEDICINE
STATEN ISLAND, NY 10305
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Pediatrics
475 SEAVIEW AVENUE, DEPARTMENT OF PEDIATRICS
STATEN, NY 10305
Internal Medicine (Critical Care Medicine)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Internal Medicine (Nephrology)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305

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 Ahmad Abou Yassine's NPI number?

The NPI number for Ahmad Abou Yassine is 1720645310. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Ahmad Abou Yassine located?

Ahmad Abou Yassine practices at 475 Seaview Avenue, Staten Island, NY 10305. The listed phone number is (718) 226-8855.

What is Ahmad Abou Yassine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ahmad Abou Yassine enrolled in Medicare?

Yes. Ahmad Abou Yassine 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 organization bills Medicare for Ahmad Abou Yassine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Abou Yassine reassigns Medicare benefits to Presbyterian Healthcare Services (Clovis, NM). The 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 Ahmad Abou Yassine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ahmad Abou Yassine affiliated with any hospitals?

According to CMS data, Ahmad Abou Yassine is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Ahmad Abou Yassine was last updated on February 19, 2020. 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.