Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EBRAHIM ABUHADI MD
NPI 1770279754
Internal Medicine in Poplar Bluff, MO

Active since April 13, 2023PECOS EnrolledAccepts Medicare Assignment
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901(313) 800-3681 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2026, Nov 19, 2025, Apr 13, 2023 (3 updates tracked since 2023).

About Ebrahim Abuhadi Md NPPES

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

EBRAHIM ABUHADI MD (NPI 1770279754) is an individual internal medicine provider in Poplar Bluff, Missouri, licensed in Indiana (01098580A) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770279754
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEBRAHIM ABUHADICredential: MD
Location Address3100 OAK GROVE RDPoplar Bluff, MO 63901-1573
Mailing Address4200 Bingham StDearborn, MI 48126-3611 · (313) 800-3681
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 13, 2023
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1770279754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01098580A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3100 OAK GROVE RD, Poplar Bluff, MO 63901

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

Ebrahim Abuhadi 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 ID8123584620
PECOS Enrollment IDI20260724003881
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 Ebrahim Abuhadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 309 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.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

Nurse Anesthetist, Certified Registered
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Internal Medicine (Interventional Cardiology)
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Otolaryngology
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Clinical Medical Laboratory
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Nurse Practitioner
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Occupational Therapist
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Family Medicine
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Student in an Organized Health Care Education/Training Program
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901

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 Ebrahim Abuhadi's NPI number?

The NPI number for Ebrahim Abuhadi is 1770279754. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Ebrahim Abuhadi located?

Ebrahim Abuhadi practices at 3100 Oak Grove Rd, Poplar Bluff, MO 63901. The listed phone number is (313) 800-3681.

What is Ebrahim Abuhadi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ebrahim Abuhadi enrolled in Medicare?

Yes. Ebrahim Abuhadi 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 Ebrahim Abuhadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebrahim Abuhadi reassigns Medicare benefits to Hospitalist Physicians Of Indiana, PC (Fort Wayne, IN). 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 Ebrahim Abuhadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ebrahim Abuhadi affiliated with any hospitals?

According to CMS data, Ebrahim Abuhadi is affiliated with Lutheran Hospital Of Indiana.

When was this NPI record last updated?

The NPPES record for Ebrahim Abuhadi was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.