Dr Abduljaleel Poovathumkadavil, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in East Amherst, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ssm Health Care Group, Dynamic Radiology Tennessee Pc and his current practice location is
90 Autumn Creek Ln, Apt. F, East Amherst, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 800-9089.
Dr Abduljaleel Poovathumkadavil is licensed to practice in Tennessee (license number AMO395168) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790219335.
Physician's Profile
| Full Name | Dr Abduljaleel Poovathumkadavil |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 30 Years |
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| Location | 90 Autumn Creek Ln, East Amherst, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Abduljaleel Poovathumkadavil graduated from medical school in 1994
NPI Data:
- NPI Number: 1790219335
- Provider Enumeration Date: 04/19/2017
- Last Update Date: 04/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 2062818693
- Enrollment ID: I20210908000810
Medical Identifiers
Medical identifiers for Dr Abduljaleel Poovathumkadavil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790219335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | AMO395168 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ssm Health Care Group | 0143608372 | 678 |
| Dynamic Radiology Tennessee Pc | 6204207798 | 16 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Abduljaleel Poovathumkadavil allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Health Care Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Abduljaleel Poovathumkadavil is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Abduljaleel Poovathumkadavil, MD
90 Autumn Creek Ln, Apt. F,
East Amherst, NY 14051-2918
Ph: (716) 800-9089 | Dr Abduljaleel Poovathumkadavil, MD
90 Autumn Creek Ln, Apt. F,
East Amherst, NY 14051-2918
Ph: (716) 800-9089 |
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