MUTAZ BELLAH ABUDREA
NPI 1992559165
Student in an Organized Health Care Education/Training Program in Tampa, FL

Q: What is Mutaz Bellah Abudrea's NPI number?

The NPI number for Mutaz Bellah Abudrea is 1992559165. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Q: What is Mutaz Bellah Abudrea's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2024PECOS Enrolled

3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mutaz Bellah Abudrea NPPES

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

MUTAZ BELLAH ABUDREA (NPI 1992559165) is an individual student in an organized health care education/training program in Tampa, Florida, licensed in Florida (TRN39228) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992559165

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMUTAZ BELLAH ABUDREA

Location Address3100 E FLETCHER AVETampa, FL 33613-4613

Mailing Address4 Russell Slade Blvd Unit 1305Coralville, IA 52241-2989 · (319) 961-7030

Phone(813) 971-6000

Sole ProprietorNo

Enumeration DateApril 15, 2024

NPPES CertifiedApril 15, 2024

✔ NPI 1992559165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · TRN39228

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3100 E FLETCHER AVE, Tampa, FL 33613

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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 (PECOS)

Mutaz Bellah Abudrea is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

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