Shivon Abdullah, MD in Davenport, IA - Medicare Anesthesiology

Shivon Abdullah, MD is a medicare enrolled "Anesthesiology" physician in Davenport, Iowa. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Advocate Health And Hospitals Corporation, Palmetto Anesthesia Associates, Prisma Health University Medical Group and his current practice location is 1227 E Rusholme St, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 421-1000.

Shivon Abdullah is licensed to practice in Illinois (license number 036.158833) 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 1538394150.

Contact Information

	Shivon Abdullah, MD
	1227 E Rusholme St, Davenport, IA 52803-2459
	(563) 421-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Shivon Abdullah
Gender	Male
Speciality	Anesthesiology
Experience	17 Years
Location	1227 E Rusholme St, Davenport, Iowa
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:

Shivon Abdullah graduated from medical school in 2009

NPI Data:

NPI Number: 1538394150
Provider Enumeration Date: 05/27/2009
Last Update Date: 06/17/2024

Medicare PECOS Information:

PECOS PAC ID: 2668793118
Enrollment ID: I20211209000115

Medical Identifiers

Medical identifiers for Shivon Abdullah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538394150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	01075175A (Indiana)	Secondary
207L00000X	Anesthesiology	MD-46157 (Iowa)	Secondary
207L00000X	Anesthesiology	46157 (Illinois)	Secondary
207L00000X	Anesthesiology	91682 (South Carolina)	Secondary
207L00000X	Anesthesiology	036.158833 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Francis-downtown	Greenville, SC	Hospital
Prisma Health Baptist	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocate Health And Hospitals Corporation	7810800935	2682
Palmetto Anesthesia Associates	3274446422	96
Prisma Health University Medical Group	8325950983	2220

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. Shivon Abdullah allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Associated Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544

Entity Name	Midwest Anesthesia Providers Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182

Entity Name	Novus Illinois Service Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295491744 PECOS PAC ID: 6901293786 Enrollment ID: O20220426000454

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. Shivon Abdullah 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
Shivon Abdullah, MD 265 Brookview Centre Way, Ste 400, Knoxville, TN 37919-4052 Ph: (865) 769-6671	Shivon Abdullah, MD 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (563) 421-1000

Reviews and Comments

Anesthesiology Doctors in Davenport, IA

Johanna Laidig, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000
Mr. Ilya B Volfson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889
Eunhea Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000
Dr. Stephen Thomas Delessio, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 East Rusholme Street, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889
Mr. Johnny Edward Brian Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889
Sara Fay Reader, DO, MS Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000
Mr. Todd Jon Roehr, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 East Rusholme Street, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889

Shivon Abdullah, MD - Medicare Anesthesiology in Davenport, IA