MISHAL ABDULLAH M.D.
NPI 1730319518
Internal Medicine - Rheumatology in Knoxville, TN

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
8975 EXECUTIVE PARK DR STE 200, KNOXVILLE, TN 37923(865) 691-4100(865) 584-1363 Get Directions Write a Review

NPPES record last updated: June 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2019, Jan 13, 2017 (2 updates tracked since 2017).

About Mishal Abdullah M.d. NPPES

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

MISHAL ABDULLAH M.D. (NPI 1730319518) is an individual rheumatology provider in Knoxville, Tennessee, licensed in Tennessee (56495) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1730319518
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMISHAL ABDULLAHCredential: M.D.
Location Address8975 EXECUTIVE PARK DR STE 200Knoxville, TN 37923-4708
Mailing Address1225 E Weisgarber Rd Ste 200Knoxville, TN 37909-2675 · (865) 584-4747 · Fax (865) 584-1363
Fax(865) 584-1363
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 15, 2009
Last NPPES UpdateJune 15, 20192 updates tracked since enumeration
NPI 1730319518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in TN · 56495 Licensed in IN · 01082238A
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
8975 EXECUTIVE PARK DR STE 200, Knoxville, TN 37923

Other Identifiers 1

Medicaid03837198NY

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

Mishal Abdullah 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 ID446476410
PECOS Enrollment IDI20200618001808
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 6

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
38,800 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
289 services173 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
217 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
96 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 5

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

Nurse Practitioner
8975 EXECUTIVE PARK DR STE 200
KNOXVILLE, TN 37923
Psychiatry & Neurology (Neurology)
8975 EXECUTIVE PARK DR STE 200
KNOXVILLE, TN 37923
Internal Medicine (Rheumatology)
8975 EXECUTIVE PARK DR STE 200
KNOXVILLE, TN 37923
Internal Medicine (Rheumatology)
8975 EXECUTIVE PARK DR STE 200
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
8975 EXECUTIVE PARK DR STE 200
KNOXVILLE, TN 37923

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 Mishal Abdullah's NPI number?

The NPI number for Mishal Abdullah is 1730319518. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Mishal Abdullah located?

Mishal Abdullah practices at 8975 Executive Park Dr Ste 200, Knoxville, TN 37923. The listed phone number is (865) 691-4100.

What is Mishal Abdullah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mishal Abdullah enrolled in Medicare?

Yes. Mishal Abdullah 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 Mishal Abdullah accept?

Health plans from AmeriHealth Caritas Next, BlueCross BlueShield of Tennessee and UnitedHealthcare list Mishal Abdullah 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 Mishal Abdullah affiliated with any hospitals?

According to CMS data, Mishal Abdullah is affiliated with Cumberland Medical Center, Blount Memorial Hospital, Methodist Medical Center Of Oak Ridge, Fort Loudoun Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Mishal Abdullah was last updated on June 15, 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.