ABUHUZIEFA ABUBAKR MD
NPI 1932109378
Psychiatry & Neurology - Clinical Neurophysiology in Dayton, OH

NPI Status: Active since July 28, 2005

Contact Information

30 E APPLE ST STE 5254
DAYTON, OH
ZIP 45409
Phone: (937) 208-4200
Fax: (937) 208-2678

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  • Individual
  • Male
  • Years of Experience 37
  • Psychiatry & Neurology
  • Clinical Neurophysiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ABUHUZIEFA ABUBAKR

This page provides the complete NPI Profile along with additional information for Abuhuziefa Abubakr, a provider established in Dayton, Ohio with a medical specialization in Psychiatry & Neurology, focusing in clinical neurophysiology and more than 37 years of experience. The healthcare provider is registered in the NPI registry with number 1932109378 assigned on July 2005. The practitioner's primary taxonomy code is 2084N0600X with license number 35.080807 (OH). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1932109378
Provider Name
ABUHUZIEFA ABUBAKR MD
Gender
Male
Entity Type
Individual
Location Address
30 E APPLE ST STE 5254 DAYTON, OH 45409
Location Phone
(937) 208-4200
Location Fax
(937) 208-2678
Mailing Address
3170 KETTERING BLVD BLDG B MORAINE, OH 45439
Mailing Phone
(937) 991-3188
Mailing Fax
(937) 208-2678
Medical School Name
OTHER
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
07-28-2005
Last Update Date
01-13-2022
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Location Map

Secondary Locations

  • 5041 Broadway
    New York, NY 10034
    (646) 869-2144
  • 625 E Fordham Rd
    Bronx, NY 10458
    (718) 933-1900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Clinical Neurophysiology

Taxonomy Code
2084N0600X
Type
Allopathic & Osteopathic Physicians
License No.
35.080807
License State
OH
Taxonomy Description
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

215175 (NY)
22084N0600XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Clinical Neurophysiology

25MA07286300 (NJ)
32084N0600XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Clinical Neurophysiology

21821 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO
  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0438367MEDICAID (05)OH 
1564923MEDICAID (05)LA 
8658307MEDICAID (05)NJ 
P01236082OTHER (01)MSRR MEDICARE
4836155MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

Abuhuziefa Abubakr is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Abuhuziefa Abubakr is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6608891395

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20171004001201

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 21 times for 17 patients

Measurement of brain wave activity (eeg), awake and asleep

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

This service was performed 48 times for 48 patients

Measurement of brain wave activity (eeg), awake and drowsy

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

This service was performed 70 times for 70 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

This service was performed 121 times for 63 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional

This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.

This service was performed 69 times for 57 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932109378, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 2 + 0 + 1 + 8 + 3 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1932109378.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Registered Nurse (Neuroscience)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner
30 E APPLE ST STE 5254
DAYTON, OH 45409
Psychiatry & Neurology (Vascular Neurology)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Neurological Surgery
30 E APPLE ST STE 5254
DAYTON, OH 45409
Physician Assistant (Surgical)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner
30 E APPLE ST STE 5254
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 5254
DAYTON, OH 45409
Neurological Surgery
30 E APPLE ST STE 5254
DAYTON, OH 45409
Neurological Surgery
30 E APPLE ST STE 5254
DAYTON, OH 45409
Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner (Gerontology)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 5254
DAYTON, OH 45409
Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 5254
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
30 E APPLE ST STE 5254
DAYTON, OH 45409

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932109378, enumerated as an "individual" on July 28, 2005.

The provider is located at 30 E APPLE ST STE 5254 DAYTON, OH 45409 and the phone number is (937) 208-4200.

Psychiatry & Neurology with taxonomy code 2084N0600X and a focus in Clinical Neurophysiology.

The provider might be accepting Accepts: CareSource, MedMutual, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.