ABDULLA M ABDULLA (MD) – Cardiovascular Disease Physician, NPI 1174502694

ABDULLA M ABDULLA (MD) is a healthcare provider. based in Augusta, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 017117 (GA). The NPI Number for ABDULLA M ABDULLA (MD) is 1174502694

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
ABDULLA M ABDULLA (MD)
NPI
1174502694
Phone
(706) 724-8611
Address
1348 WALTON WAY
Enumeration Date
12 January 2006
Last Update Date
2 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046055699
Graduation Year
1970 (56 years ago)
PAC ID
4789687500
Group Practice PAC ID
0345321691
Professional Enrollment ID
I20080327000460
Address ID
GA303091721AT95XXXNWXX433
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for ABDULLA M ABDULLA (MD)

  • 1348, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    SUITE 5100

    AUGUSTA, GA 309015108

    Phone: (706) 724-8611

    Fax: (706) 821-8100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($130).

Total Amount

$295

General + Research + Ownership

Payments

14

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2008-03-27

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
I20080327000460ICardiovascular Disease (Cardiology)GATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes716602$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report368359$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function296296$0
J2785Injection, regadenoson, 0.1 mg14436$0
85610Blood test, clotting time12421$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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Provider's Procedures

ABDULLA M ABDULLA (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies155155
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report222173

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: 0345321691View full group profile
NameSpecialtyState
Nurse PractitionerTN
-GA
-GA
-GA
Nurse PractitionerGA
Internal MedicineOH
Nurse PractitionerGA
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
-GA

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Frequently asked questions

Does ABDULLA M ABDULLA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ABDULLA M ABDULLA (MD) uses 1174502694.
Can I rely on ABDULLA M ABDULLA (MD) being an active provider?
As of the registry snapshot, ABDULLA M ABDULLA (MD) is marked active.
What is ABDULLA M ABDULLA (MD)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for ABDULLA M ABDULLA (MD) here. Clinical services aligned with this taxonomy classification.
What area does ABDULLA M ABDULLA (MD) serve?
ABDULLA M ABDULLA (MD)'s listing highlights Augusta, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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