DR. SAMEH ABDELAAL M.D.
NPI 1770855652
Internal Medicine - Infectious Disease in Somerville, NJ

Active since February 07, 2012PECOS EnrolledAccepts Medicare Assignment
95.3/100
CMS Quality Rating
128 REHILL AVE STE 1100, SOMERVILLE, NJ 08876(908) 243-8647(732) 463-5538 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2021, Jul 29, 2018 (2 updates tracked since 2018).

About Dr. Sameh Abdelaal M.d. NPPES

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

DR. SAMEH ABDELAAL M.D. (NPI 1770855652) is an individual infectious disease provider in Somerville, New Jersey, licensed in New Jersey (25MA09344300) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Deborah Heart And Lung Center, and maintains a secondary practice location in West Orange.

NPPES Registry Identity

NPI1770855652
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SAMEH ABDELAALCredential: M.D.
Location Address128 REHILL AVE STE 1100Somerville, NJ 08876-2519
Mailing Address128 Rehill Ave Ste 1100Somerville, NJ 08876-2519 · (908) 243-8647 · Fax (732) 463-5538
Fax(732) 463-5538
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 7, 2012
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1770855652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA09344300
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09344300 (NJ)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 25MA09344300 (NJ)
Also ListedHospitalistTaxonomy 208M00000X · License 25MA09344300 (NJ)
128 REHILL AVE STE 1100, Somerville, NJ 08876

Secondary Practice Location 1

Location 1101 Old Short Hills Rd Ste 106West Orange, NJ 07052 · Phone (973) 322-6256 · Fax (973) 322-6241

Accepted Insurance

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

Dr. Sameh Abdelaal 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 ID7113149493
PECOS Enrollment IDI20141121000959
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 Reassignments

4

Medicare enrollment records show Sameh Abdelaal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3 EXECUTIVE DRIVE, SUITE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Specialist
200 TRENTON RD
Browns Mills, NJ 08015
  • Reassigned Medicare billing, New Jersey enrollment
  • 222 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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

95.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability99
Improvement Activities40
Cost82.55

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.

Nurse Practitioner (Women's Health)
128 REHILL AVE STE 1100
SOMERVILLE, NJ 08876
Nurse Practitioner (Gerontology)
128 REHILL AVE STE 1100
SOMERVILLE, NJ 08876

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 Sameh Abdelaal's NPI number?

The NPI number for Sameh Abdelaal is 1770855652. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Sameh Abdelaal located?

Sameh Abdelaal practices at 128 Rehill Ave Ste 1100, Somerville, NJ 08876. The listed phone number is (908) 243-8647.

What is Sameh Abdelaal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sameh Abdelaal enrolled in Medicare?

Yes. Sameh Abdelaal 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 organizations bill Medicare for Sameh Abdelaal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sameh Abdelaal reassigns Medicare benefits to 4 organizations: Robert Wood Johnson Physician Enterprise (Somerset, NJ), Rwjbh Primary Care Services (West Orange, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, NJ). Each 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 Sameh Abdelaal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sameh Abdelaal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sameh Abdelaal 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 Sameh Abdelaal affiliated with any hospitals?

According to CMS data, Sameh Abdelaal is affiliated with Deborah Heart And Lung Center.

When was this NPI record last updated?

The NPPES record for Sameh Abdelaal was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.