DR. ABDALI S. JAN (M.D.) – Internal Medicine Physician, NPI 1124013578

DR. ABDALI S. JAN (M.D.) is a healthcare provider. based in Lagrange, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01051996A (IN). The NPI Number for DR. ABDALI S. JAN (M.D.) is 1124013578

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABDALI S. JAN (M.D.)
NPI
1124013578
Phone
(260) 463-2133
Address
2500 N Detroit St
Enumeration Date
13 September 2005
Last Update Date
21 June 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2604632133
Graduation Year
2000 (26 years ago)
PAC ID
6406750652
Group Practice PAC ID
7113830688
Professional Enrollment ID
I20031120000547
Address ID
IN467611158LA2500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,517 INTERNAL MEDICINE in IN

Provider Addresses for DR. ABDALI S. JAN (M.D.)

  • 2500 N Detroit St

    LaGrange, IN 467611158

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    Type: Location

  • 1655 N Cass St

    Wabash, IN 469929416

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    Type: Location

  • 1310 E 7th St Ste G

    Auburn, IN 467062518

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    Type: Location

  • 885 W Connexion Way Ste 200

    Columbia City, IN 467251045

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    Type: Location

  • 2003 Stults Rd Ste 220

    Huntington, IN 467501291

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    Type: Location

  • 2200 Randallia Dr

    Fort Wayne, IN 468054638

    Phone: (260) 266-2020

    Type: Location

  • Sawyer Road, Kendallville, Noble County, Indiana, 46755, United States

    KENDALLVILLE, IN 467552566

    Phone: (260) 347-5592

    Fax: (260) 347-5155

    Type: Location

  • PO BOX 236

    LAGRANGE, IN 467610236

    Phone: (260) 463-2133

    Fax: (260) 463-3775

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $403.

Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: PFIZER INC. ($112).

Total Amount

$403

General + Research + Ownership

Payments

20

Total payment records

General Amount

$403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2003-11-20

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
I20031120000547IInternal MedicineINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,433363$0
99214Established patient office or other outpatient visit, 30-39 minutes211128$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes182176$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes127105$0
99213Established patient office or other outpatient visit, 20-29 minutes10686$0
View full utilization report →

Insurance plans in this area (ZIP 46761)

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Provider's Procedures

DR. ABDALI S. JAN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIN78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1717
INTERNAL MEDICINEIN90670Pneumococcal vaccine for injection into muscle1616
INTERNAL MEDICINEIN94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2222

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: 7113830688View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Internal MedicineIN
Physician AssistantIN
Nurse PractitionerIN
Nurse PractitionerIN
Internal MedicineOH
Nurse PractitionerIN
Internal MedicineIN
Internal MedicinePA

Reviews

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Frequently asked questions

What is DR. ABDALI S. JAN (M.D.)'s NPI number?
DR. ABDALI S. JAN (M.D.)'s NPI is 1124013578 — the number used across U.S. healthcare to identify this provider.
Is DR. ABDALI S. JAN (M.D.) still an active registrant?
DR. ABDALI S. JAN (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. ABDALI S. JAN (M.D.)?
DR. ABDALI S. JAN (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ABDALI S. JAN (M.D.)?
Directory geography for DR. ABDALI S. JAN (M.D.) centers on Lagrange, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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