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FUAD IBRAHIM ABALEKA M.D
NPI 1861925596
Internal Medicine in Lubbock, TX

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
3615 19TH ST DEPT OF, LUBBOCK, TX 79410(806) 725-0000 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, Apr 10, 2017 (2 updates tracked since 2017).

About Fuad Ibrahim Abaleka M.d NPPES

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

FUAD IBRAHIM ABALEKA M.D (NPI 1861925596) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (S7162) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare White Oak Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861925596
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFUAD IBRAHIM ABALEKACredential: M.D
Location Address3615 19TH ST DEPT OFLubbock, TX 79410-1209
Mailing Address355 Bard Ave, Department Of Medicine Villa BldgStaten Island, NY 10310-1664 · (718) 818-2419
Phone(806) 725-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 10, 2017
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1861925596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S7162
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.
3615 19TH ST DEPT OF, Lubbock, TX 79410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Fuad Ibrahim Abaleka 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 ID3971842642
PECOS Enrollment IDI20200713001520, I20250211000639
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 5

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 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.
495 services158 patients
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.
114 services55 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.
86 services85 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.
58 services58 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210016
Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers33 claims33 services$18.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers39 claims39 services$102.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Fuad Abaleka's NPI number?

The NPI number for Fuad Abaleka is 1861925596. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Fuad Abaleka located?

Fuad Abaleka practices at 3615 19th St Dept Of, Lubbock, TX 79410. The listed phone number is (806) 725-0000.

What is Fuad Abaleka's specialty?

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

Is Fuad Abaleka enrolled in Medicare?

Yes. Fuad Abaleka 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 Fuad Abaleka accept?

Health plans from Blue Cross and Blue Shield of Texas list Fuad Abaleka 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 Fuad Abaleka affiliated with any hospitals?

According to CMS data, Fuad Abaleka is affiliated with Adventist Healthcare White Oak Medical Center.

When was this NPI record last updated?

The NPPES record for Fuad Abaleka was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.