IMAD ABOSSALLUE (M.D.) – Nuclear Medicine Physician, NPI 1134359599

IMAD ABOSSALLUE (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME121864 (FL). The NPI Number for IMAD ABOSSALLUE (M.D.) is 1134359599

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
IMAD ABOSSALLUE (M.D.)
NPI
1134359599
Phone
(404) 252-4709
Address
5605 GLENRIDGE DR STE 325
Enumeration Date
20 July 2009
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707161111
Graduation Year
2001 (25 years ago)
PAC ID
8224281365
Group Practice PAC ID
5395738348
Professional Enrollment ID
I20221019000000
Address ID
GA302141578FA101XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness75
Years active:16State licenses:4Digital endpointsOther names

57 NUCLEAR MEDICINE in GA

Provider Addresses for IMAD ABOSSALLUE (M.D.)

  • 5605 GLENRIDGE DR STE 325

    ATLANTA, GA 303421301

    Phone: (404) 252-4709

    Type: Mailing

  • 1000 JOHNSON FERRY RD

    ATLANTA, GA 303421606

    Phone: (404) 851-6323

    Fax: (404) 303-3747

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    DEPARTMENT OF NUCLEAR MEDICINE, JMH WEST WING 279

    MIAMI, FL 331361005

    Phone: (305) 585-7955

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: GE HEALTHCARE ($78).

Total Amount

$78

General + Research + Ownership

Payments

1

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GE HEALTHCARE$78
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: 2022-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200102000805IInternal MedicineFLTBD
I20221019000000INuclear MedicineGATBD

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
78815Nuclear medicine study from skull base to mid-thigh with ct scan793761$0
78306Nuclear medicine study of bone and/or joint whole body8989$0
78264Nuclear medicine study of stomach to assess emptying6767$0
78830Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging5553$0
78226Nuclear medicine study of liver and bile duct system4949$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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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: 5395738348View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Nurse PractitionerGA
Diagnostic RadiologyGA
Physician AssistantGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Diagnostic RadiologyVA
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyGA

Reviews

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Frequently asked questions

Is IMAD ABOSSALLUE (M.D.) listed with a National Provider Identifier?
Yes — IMAD ABOSSALLUE (M.D.) has NPI 1134359599 on file in the registry.
Is IMAD ABOSSALLUE (M.D.) shown as active in public data?
Registry records indicate IMAD ABOSSALLUE (M.D.) maintains an active NPI.
What area of care is associated with IMAD ABOSSALLUE (M.D.)?
IMAD ABOSSALLUE (M.D.)'s record emphasizes Nuclear Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for IMAD ABOSSALLUE (M.D.)?
Travel planning: use Atlanta, Georgia as the reference point for IMAD ABOSSALLUE (M.D.), then confirm.
Does IMAD ABOSSALLUE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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