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DR. ALI ABADI DPM
NPI 1972868040
Podiatrist - Foot & Ankle Surgery in Marlton, NJ

Active since July 05, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1001 ROUTE 73 N UPPR LEVEL, MARLTON, NJ 08053(855) 548-7634(856) 779-7563 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2020, Jul 15, 2020, Jun 21, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Ali Abadi Dpm NPPES

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

DR. ALI ABADI DPM (NPI 1972868040) is an individual foot & ankle surgery provider in Marlton, New Jersey, licensed in New Jersey (25MD00313600) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Lumberton.

NPPES Registry Identity

NPI1972868040
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ALI ABADICredential: DPM
Location Address1001 ROUTE 73 N UPPR LEVELMarlton, NJ 08053-4524
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(855) 548-7634
Fax(856) 779-7563
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2009
Enumeration DateJuly 5, 2012
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1972868040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00313600
1001 ROUTE 73 N UPPR LEVEL, Marlton, NJ 08053
Open in Google Maps ↗

Secondary Practice Location 1

Location 11613 Route 38 Fl 1Lumberton, NJ 08048-2921 · Phone (855) 548-7634 · Fax (855) 355-7127

Other Identifiers 1

Other25MD00313600NJ · Nj. Board Of Medical Examiners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Ali Abadi Dpm 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 ID1557514817
PECOS Enrollment IDI20130117000102
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 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.
380 services215 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
160 services160 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
152 services49 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
67 services31 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
54 services23 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
26 services12 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier28 claims56 services$58.95 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier22 claims132 services$25.08 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 3

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

ALEXANDER F AU M.D.
Plastic Surgery
1001 ROUTE 73 N UPPR LEVEL
MARLTON, NJ 08053
Burlington County (856) 355-7137
RUTH WALSH NP
Nurse Practitioner (Acute Care)
1001 ROUTE 73 N UPPR LEVEL
MARLTON, NJ 08053
Burlington County (856) 988-3444
AMANDA BARTSCH PA-C
Physician Assistant (Surgical)
1001 ROUTE 73 N UPPR LEVEL
MARLTON, NJ 08053
Burlington County (856) 355-7137

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 Ali Abadi's NPI number?

The NPI number for Ali Abadi is 1972868040. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Ali Abadi located?

Ali Abadi practices at 1001 Route 73 N Uppr Level, Marlton, NJ 08053. The listed phone number is (855) 548-7634.

What is Ali Abadi's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ali Abadi enrolled in Medicare?

Yes. Ali Abadi 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 Ali Abadi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ali Abadi 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 Ali Abadi affiliated with any hospitals?

According to CMS data, Ali Abadi is affiliated with West Jersey Hospital and Virtua Our Lady Of Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Ali Abadi was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.