ABDUL HAFEEZ (MD) – Procedural Dermatology Physician, NPI 1023082005

ABDUL HAFEEZ (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 47327 (GA). The NPI Number for ABDUL HAFEEZ (MD) is 1023082005

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
ABDUL HAFEEZ (MD)
NPI
1023082005
Phone
(770) 682-2500
Address
721 WELLNESS WAY STE 210
Enumeration Date
15 February 2006
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7706822500
Graduation Year
1992 (34 years ago)
PAC ID
8729086772
Group Practice PAC ID
1052447307
Professional Enrollment ID
I20061129000377
Address ID
GA300463304LA721XXWAYX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

Provider Addresses for ABDUL HAFEEZ (MD)

  • 721 WELLNESS WAY STE 210

    LAWRENCEVILLE, GA 300463304

    Phone: (770) 682-2500

    Fax: (770) 682-2014

    Type: Mailing

  • Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 30046

    Phone: (770) 682-2500

    Fax: (770) 682-2014

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $1,738.

Total Amount is formed as General ($1,738) + Research ($0) + Ownership ($0) = $1,738.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($348).

Total Amount

$1,738

General + Research + Ownership

Payments

94

Total payment records

General Amount

$1,738

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061129000377IDermatologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths749172$0
99214Established patient office or other outpatient visit, 30-39 minutes386258$0
11102Biopsy of related skin growth, first growth367261$0
17000Destruction of precancer skin growth, 1 growth354235$0
99213Established patient office or other outpatient visit, 20-29 minutes342252$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Provider's Procedures

ABDUL HAFEEZ (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA11101Biopsy of each additional growth of skin and/or tissue18399

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052447307View full group profile
NameSpecialtyState
Physician AssistantAL

Reviews

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Frequently asked questions

What NPI should I save for ABDUL HAFEEZ (MD)?
Save NPI 1023082005 if you need a stable reference for ABDUL HAFEEZ (MD).
Is ABDUL HAFEEZ (MD) active in the national directory?
ABDUL HAFEEZ (MD)'s public NPI profile is in an active state.
What kind of provider is ABDUL HAFEEZ (MD)?
The page reflects Procedural Dermatology Physician for ABDUL HAFEEZ (MD). Clinical services aligned with this taxonomy classification.
Does ABDUL HAFEEZ (MD) practice in Georgia?
You will see Lawrenceville, Georgia on file for ABDUL HAFEEZ (MD) alongside any extra practice locations.
What if Lawrenceville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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