| Abdullah Abdussalam, | |
|
2302 Lone Star Rd Ste 200, Mansfield, TX 76063-8751 | |
| (682) 341-7210 | |
| (682) 341-7212 |
| Full Name | Abdullah Abdussalam |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 12 Years |
| Location | 2302 Lone Star Rd Ste 200, Mansfield, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932442613 | NPI | - | NPPES |
| 1932442613 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036169814 (Illinois) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | S1745 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Alexius Medical Center | Hoffman estates, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Digestive Health And Nutrition, Pllc | 2769830389 | 23 |
| Entity Name | Midwest Digestive Health & Nutrition, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477241750 PECOS PAC ID: 2769830389 Enrollment ID: O20231121000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Abdullah Abdussalam, Po Box 6278, Fort Worth, TX 76115-0278 Ph: (817) 568-5467 | Abdullah Abdussalam, 2302 Lone Star Rd Ste 200, Mansfield, TX 76063-8751 Ph: (682) 341-7210 |
Gretchen M Bures, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000 | |
Dr. John Ira Thurmond, MD. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1011 Matlock Rd, Mansfield, TX 76063 Phone: 817-225-6888 Fax: 817-377-6570 | |
Michael G Mcinnis, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 252 Matlock Rd, Suite 130, Mansfield, TX 76063 Phone: 817-473-7184 Fax: 817-473-7186 | |
Theophilus Tolulope Ogungbamigbe, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1302 Bankston Ln, Mansfield, TX 76063 Phone: 785-354-9591 | |
Hiral Vishal Thakkar, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000 | |
Jaremy Emer James, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 252 Matlock Road, Suite 130, Mansfield, TX 76063 Phone: 817-473-7184 Fax: 817-473-7186 | |
Natasha Caballero, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-532-6470 |