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DR. DANILO NAGTALON ABLAN MD
NPI 1972608032
Internal Medicine - Pulmonary Disease in Portsmouth, NH

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
330 BORTHWICK AVE STE 108, PORTSMOUTH, NH 03801(603) 436-4614(603) 436-0377 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2017, Jan 27, 2017 (2 updates tracked since 2017).

About Dr. Danilo Nagtalon Ablan Md NPPES

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

DR. DANILO NAGTALON ABLAN MD (NPI 1972608032) is an individual pulmonary disease provider in Portsmouth, New Hampshire, licensed in New Hampshire (LT3784) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1972608032
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DANILO NAGTALON ABLANCredential: MD
Location Address330 BORTHWICK AVE STE 108Portsmouth, NH 03801-7110
Mailing Address330 Borthwick Ave Ste 108Portsmouth, NH 03801-7110 · (603) 436-4614 · Fax (603) 436-0377
Phone(603) 436-4614
Fax(603) 436-0377
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMay 22, 20172 updates tracked since enumeration
✔ NPI 1972608032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NH · LT3784✔ Licensed in NY · 176953
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 176953 (NY), 6798 (HI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License LT3784 (NH), 176953 (NY)
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 176953 (NY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License LT3784 (NH)
330 BORTHWICK AVE STE 108, Portsmouth, NH 03801
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Other Identifiers 3

Medicare UPINE54518HI
Medicaid3107437NH
Medicaid056231HI

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. Danilo Nagtalon Ablan 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 ID9638158728
PECOS Enrollment IDI20040714000117
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.

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.
606 services274 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
46 services34 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
20 services20 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
13 services13 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers21 claims21 services$32.77 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers47 claims48 services$74.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers34 claims67 services$29.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier26 claims131 services$15.82 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers36 claims155 services$12.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers65 claims65 services$48.43 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 Danilo Ablan's NPI number?

The NPI number for Danilo Ablan is 1972608032. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Danilo Ablan located?

Danilo Ablan practices at 330 Borthwick Ave Ste 108, Portsmouth, NH 03801. The listed phone number is (603) 436-4614.

What is Danilo Ablan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Danilo Ablan enrolled in Medicare?

Yes. Danilo Ablan 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 Danilo Ablan affiliated with any hospitals?

According to CMS data, Danilo Ablan is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Danilo Ablan was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.