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MS. HERAN ABIYE MD
NPI 1922621846
Family Medicine in Newark, DE

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
300 BIDDLE AVE STE 200, NEWARK, DE 19702(302) 838-4750(302) 838-4755 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, May 27, 2020 (2 updates tracked since 2020).

About Ms. Heran Abiye Md NPPES

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

MS. HERAN ABIYE MD (NPI 1922621846) is an individual family medicine provider in Newark, Delaware, licensed in Delaware (C1-0026311) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Howard University College Of Medicine (2019).

NPPES Registry Identity

NPI1922621846
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. HERAN ABIYECredential: MD
Location Address300 BIDDLE AVE STE 200Newark, DE 19702-3972
Mailing Address35 Wheatland AveWest Orange, NJ 07052-4418 · (973) 931-8781
Phone(302) 838-4750
Fax(302) 838-4755
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2019
Enumeration DateMay 27, 2020
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1922621846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C1-0026311
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 BIDDLE AVE STE 200, Newark, DE 19702
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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

Ms. Heran Abiye 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 ID6103288063
PECOS Enrollment IDI20230810000029
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.

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.
237 services182 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
94 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services73 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.
28 services27 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19702 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 2

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

GLENDA ALBIZU MD
Family Medicine
300 BIDDLE AVE STE 200
NEWARK, DE 19702
New Castle County (302) 838-4750
MEAGAN PRIME APRN
Nurse Practitioner (Family)
300 BIDDLE AVE STE 200
NEWARK, DE 19702
New Castle County (302) 838-4750

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 Heran Abiye's NPI number?

The NPI number for Heran Abiye is 1922621846. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Heran Abiye located?

Heran Abiye practices at 300 Biddle Ave Ste 200, Newark, DE 19702. The listed phone number is (302) 838-4750.

What is Heran Abiye's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heran Abiye enrolled in Medicare?

Yes. Heran Abiye 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.

Is Heran Abiye affiliated with any hospitals?

According to CMS data, Heran Abiye is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Heran Abiye was last updated on July 28, 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.