Mohammad Abdallat, MD in Providence, RI - Medicare Thoracic Surgery

Mohammad Abdallat, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Providence, Rhode Island. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Prospect Chartercare Rwmc, Llc and his current practice location is 50 Maude St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 456-2077.

Mohammad Abdallat is licensed to practice in Rhode Island (license number CMD20274) 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 1033634647.

Contact Information

	Mohammad Abdallat, MD
	50 Maude St, Providence, RI 02908-4325
	(401) 456-2077
	Not Available

Map and Direction

Physician's Profile

Full Name	Mohammad Abdallat
Gender	Male
Speciality	Thoracic Surgery
Experience	12 Years
Location	50 Maude St, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mohammad Abdallat graduated from medical school in 2014

NPI Data:

NPI Number: 1033634647
Provider Enumeration Date: 08/04/2017
Last Update Date: 03/18/2026

Medicare PECOS Information:

PECOS PAC ID: 0244576619
Enrollment ID: I20250124001565

Medical Identifiers

Medical identifiers for Mohammad Abdallat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033634647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	CMD20274 (Rhode Island)	Primary
208600000X	Surgery	CMD20274 (Rhode Island)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roger Williams Medical Center	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prospect Chartercare Rwmc, Llc	0547492696	68

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. Mohammad Abdallat allows following entities to bill medicare on his behalf.

Entity Name	Prospect Chartercare Rwmc, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672

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. Mohammad Abdallat 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
Mohammad Abdallat, MD 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (929) 217-7323	Mohammad Abdallat, MD 50 Maude St, Providence, RI 02908-4325 Ph: (401) 456-2077

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Providence, RI

Siyamek Neragi-miandoab, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5891 Fax: 401-444-8158
Dr. Ashraf A Sabe, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 345 Blackstone Blvd Bldg 100, Providence, RI 02906 Phone: 401-681-4996 Fax: 401-921-5669
Carl-christian Andrew Jackson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2 Dudley St Ste 190, Providence, RI 02905 Phone: 401-228-0623 Fax: 401-868-2319
Abbas El Sayed Abbas, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St Ste 470, Providence, RI 02905 Phone: 401-553-8320 Fax: 401-868-2322
Dr. Frank W. Sellke, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: Two Dudley Street, Ste. 470, University Cardiovascular Surgical Associates, Providence, RI 02905 Phone: 401-274-7546 Fax: 401-274-7910
Laura Scrimgeour, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Providence, RI 02905 Phone: 401-444-5891 Fax: 401-444-8158

Mohammad Abdallat, MD - Medicare Thoracic Surgery in Providence, RI