MR. NABEEL ABDULLAH MD
NPI 1952306565
Internal Medicine - Cardiovascular Disease in Port Arthur, TX

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3921 N TWIN CITY HWY, PORT ARTHUR, TX 77642(409) 963-0000(409) 963-1899 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2016, Aug 16, 2016 (2 updates tracked since 2016).

About Mr. Nabeel Abdullah Md NPPES

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

MR. NABEEL ABDULLAH MD (NPI 1952306565) is an individual cardiovascular disease provider in Port Arthur, Texas, licensed in Texas (K9951) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with The Medical Center Of Southeast Texas, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1952306565
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. NABEEL ABDULLAHCredential: MD
Location Address3921 N TWIN CITY HWYPort Arthur, TX 77642-2118
Mailing AddressPo Box 951406Dallas, TX 75395-1406 · (409) 963-0000 · Fax (409) 963-1899
Fax(409) 963-1899
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 11, 20162 updates tracked since enumeration
NPI 1952306565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · K9951
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License K9951 (TX)
3921 N TWIN CITY HWY, Port Arthur, TX 77642

Other Identifiers 5

Medicare PIN8475K1TX
Other060062159TX · Rr Medicare
OtherK9951TX · License No
Medicare UPING51657TX
Medicaid043174401TX

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

Mr. Nabeel Abdullah 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 ID3274671748
PECOS Enrollment IDI20091210000220
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 31

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.
531 services212 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
356 services87 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.
196 services129 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
179 services150 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
160 services155 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
155 services137 patients

Hospital Affiliations CMS Care Compare 2

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

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Riceland Medical Center

Critical Access Hospitals · Winnie, TX
OwnershipProprietary
CMS Certification Number451328
Location538 BroadwayWinnie, TX 77665 · Chambers County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
98%365 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,725 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%940 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
80%90 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$41.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers14 claims80 services$1.71 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
1 supplier12 claims12 services$63.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Specialist
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Specialist
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642

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 Nabeel Abdullah's NPI number?

The NPI number for Nabeel Abdullah is 1952306565. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Nabeel Abdullah located?

Nabeel Abdullah practices at 3921 N Twin City Hwy, Port Arthur, TX 77642. The listed phone number is (409) 963-0000.

What is Nabeel Abdullah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nabeel Abdullah enrolled in Medicare?

Yes. Nabeel Abdullah 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 Nabeel Abdullah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Nabeel Abdullah 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 Nabeel Abdullah affiliated with any hospitals?

According to CMS data, Nabeel Abdullah is affiliated with The Medical Center Of Southeast Texas and Riceland Medical Center.

When was this NPI record last updated?

The NPPES record for Nabeel Abdullah was last updated on November 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.