NADER A DBOUK (MD) – Gastroenterology Physician, NPI 1710199831

NADER A DBOUK (MD) is a healthcare provider. based in Conyers, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 48577 (TN). The NPI Number for NADER A DBOUK (MD) is 1710199831

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
NADER A DBOUK (MD)
NPI
1710199831
Phone
(678) 745-3033
Address
1501 MILSTEAD RD NE
Enumeration Date
3 May 2007
Last Update Date
5 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704273075
Graduation Year
2002 (24 years ago)
PAC ID
4981852290
Group Practice PAC ID
2365431350
Professional Enrollment ID
I20160629002703
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

524 GASTROENTEROLOGY in GA

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Provider Addresses for NADER A DBOUK (MD)

  • 1501, Milstead Road Northeast, Conyers, Rockdale County, Georgia, 30012, United States

    SUITE 120

    CONYERS, GA 30012

    Phone: (678) 745-3033

    Fax: (678) 745-3034

    Type: Location

  • Peachtree Street Northeast, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303093276

    Phone: (678) 223-7774

    Fax: (678) 223-7799

    Type: Mailing

  • 550 Peachtree St NE Ste 1720

    Atlanta, GA 303082262

    Phone: (404) 253-6824

    Fax: (404) 253-6825

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-29

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
I20160629002703IGastroenterologyGATBD

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 minutes10072$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3229$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1716$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30012)

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Provider's Procedures

NADER A DBOUK (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYGA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope1111

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: 2365431350View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineGA
Nurse PractitionerGA
Gastroenterology, Internal MedicineGA
Gastroenterology, Internal MedicineGA
G A S T R O E N T E R O L O G YGA
Gastroenterology, Internal MedicineGA
P A T H O L O G YSC
Gastroenterology, Internal MedicineGA
G A S T R O E N T E R O L O G YNJ
Physician AssistantGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for NADER A DBOUK (MD)?
NADER A DBOUK (MD) — NPI 1710199831 — is the standard way to identify this listing.
Can I rely on NADER A DBOUK (MD) being an active provider?
As of the registry snapshot, NADER A DBOUK (MD) is marked active.
What taxonomy line describes NADER A DBOUK (MD)?
For research purposes, treat NADER A DBOUK (MD) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is NADER A DBOUK (MD) based?
NADER A DBOUK (MD) is tied to Conyers, Georgia in the data we show; additional addresses may exist on the full record.
Why does NADER A DBOUK (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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