DR. TOAA ABUELENEN MD
NPI 1821652157
Hospitalist in Huntsville, AL

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
101 SIVLEY RD SW, HUNTSVILLE, AL 35801(256) 801-6047 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2023, Apr 22, 2019 (2 updates tracked since 2019).

About Dr. Toaa Abuelenen Md NPPES

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

DR. TOAA ABUELENEN MD (NPI 1821652157) is an individual hospitalist provider in Huntsville, Alabama, licensed in Alabama (MD.46163) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2019).

NPPES Registry Identity

NPI1821652157
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. TOAA ABUELENENCredential: MD
Location Address101 SIVLEY RD SWHuntsville, AL 35801-4470
Mailing Address14904 W Hardy DrTampa, FL 33613-1516 · (813) 857-8149
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
NPI 1821652157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in AL · MD.46163
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD.46163 (AL)
Also ListedPediatricsTaxonomy 208000000X · License MD.46163 (AL)
101 SIVLEY RD SW, Huntsville, AL 35801

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

Dr. Toaa Abuelenen 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 ID7719347616
PECOS Enrollment IDI20230724000635
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.

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.
220 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
174 services82 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services31 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.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Emergency Medicine
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
HUNTSVILLE, AL 35801
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
HUNTSVILLE, AL 35801
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
HUNTSVILLE, AL 35801
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
HUNTSVILLE, AL 35801
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
HUNTSVILLE, AL 35801
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
HUNTSVILLE, AL 35801
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
HUNTSVILLE, AL 35801

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 Toaa Abuelenen's NPI number?

The NPI number for Toaa Abuelenen is 1821652157. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Toaa Abuelenen located?

Toaa Abuelenen practices at 101 Sivley Rd SW, Huntsville, AL 35801. The listed phone number is (256) 801-6047.

What is Toaa Abuelenen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Toaa Abuelenen enrolled in Medicare?

Yes. Toaa Abuelenen 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 Toaa Abuelenen accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Toaa Abuelenen 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.

When was this NPI record last updated?

The NPPES record for Toaa Abuelenen was last updated on November 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.