DR. WADDAH AHDAB (MD) – Internal Medicine Physician, NPI 1255388286

DR. WADDAH AHDAB (MD) is a healthcare provider. based in Highland, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01046859A (IN). The NPI Number for DR. WADDAH AHDAB (MD) is 1255388286

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. WADDAH AHDAB (MD)
NPI
1255388286
Phone
(219) 937-2511
Address
9696 GORDON DR
Enumeration Date
27 May 2006
Last Update Date
17 March 2021

Doctor Profile

Medical School Name
ILLINOIS MEDICAL COLLEGE
Secondary Phone
2199372511
Graduation Year
1984 (42 years ago)
PAC ID
6709866320
Group Practice PAC ID
7618957226
Professional Enrollment ID
I20100909001183
Address ID
IN463222909HI9696XDRXX300

Contacts

Secure Messaging
waddahahdab@direct.practicefusion.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,511 INTERNAL MEDICINE in IN

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Provider Addresses for DR. WADDAH AHDAB (MD)

  • 9696, Gordon Drive, Seberger Farms, Highland, Lake County, Indiana, 46322, United States

    HIGHLAND, IN 463222909

    Phone: (219) 937-2511

    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 5 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Amgen Inc. ($56).

Total Amount

$93

General + Research + Ownership

Payments

5

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

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: 2010-09-09

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
I20100909001183IInternal 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 minutes1,051419$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes741270$0
99214Established patient office or other outpatient visit, 30-39 minutes437151$0
99239Hospital discharge day management, more than 30 minutes252219$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes240194$0
View full utilization report →

Insurance plans in this area (ZIP 46322)

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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: 7618957226View full group profile
NameSpecialtyState
Nurse PractitionerIN
Internal MedicineIN
Internal MedicineIN
Internal MedicineIN
Internal MedicineIN

Reviews

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Frequently asked questions

Is there an official ID for DR. WADDAH AHDAB (MD) in U.S. healthcare records?
The official identifier for DR. WADDAH AHDAB (MD) is NPI 1255388286.
Is there an active status for DR. WADDAH AHDAB (MD)?
For scheduling context, DR. WADDAH AHDAB (MD) is shown as active in the registry.
What clinical focus is listed for DR. WADDAH AHDAB (MD)?
At a glance, DR. WADDAH AHDAB (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. WADDAH AHDAB (MD)?
Travel planning: use Highland, Indiana as the reference point for DR. WADDAH AHDAB (MD), then confirm.
When was this NPI issued?
Enumeration for DR. WADDAH AHDAB (MD) is noted as May 27, 2006 where the registry provides it.

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