Mr Abdullah Jawad, MD is a medicare enrolled "Surgery" physician in Las Vegas, New Mexico. His current practice location is
108 Legion Dr, Las Vegas, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 426-3749.
Mr Abdullah Jawad is licensed to practice in New Mexico (license number MD2024-1291) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285167965.
Physician's Profile
Full Name | Mr Abdullah Jawad |
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Gender | Male |
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Speciality | Surgery |
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Location | 108 Legion Dr, Las Vegas, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285167965
- Provider Enumeration Date: 04/10/2017
- Last Update Date: 07/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678819224
- Enrollment ID: I20250110003472
Medical Identifiers
Medical identifiers for Mr Abdullah Jawad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285167965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | DR0075198 (Colorado) | Secondary |
208600000X | Surgery | 167822 (Florida) | Secondary |
208600000X | Surgery | 14189873-1205 (Utah) | Secondary |
208600000X | Surgery | 21884 (North Dakota) | Secondary |
208600000X | Surgery | 77041 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 63883 (New York) | Secondary |
208600000X | Surgery | MD2024-1291 (New Mexico) | Primary |
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. Mr Abdullah Jawad allows following entities to bill medicare on his behalf.
Entity Name | San Miguel Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114920717 PECOS PAC ID: 1254226079 Enrollment ID: O20040219000384 |
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Entity Name | San Miguel Hospital Corporation |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1114639234 PECOS PAC ID: 8921097502 Enrollment ID: O20230206001980 |
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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. Mr Abdullah Jawad 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 |
Mr Abdullah Jawad, MD 7105 Wareham Dr, Tampa, FL 33647-1129 Ph: (813) 451-4177 | Mr Abdullah Jawad, MD 108 Legion Dr, Las Vegas, NM 87701-4893 Ph: (505) 426-3749 |
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