MR. BASHIR ABDUL-WADUD (PA-C) – Physician Assistant, NPI 1871510883
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for MR. BASHIR ABDUL-WADUD (PA-C)
PO BOX 391
INNOVATIVE PHYSICIAN SERVICES, LLC
WILBRAHAM, MA 010950391
Phone: (508) 595-0531
Fax: (508) 829-5367
Type: Mailing
65, Cooper Street, Agawam, Hampden County, Massachusetts, 01001, United States
INNOVATIVE PHYSICIAN SERVICES, LLC
AGAWAM, MA 010012149
Phone: (413) 786-8000
Fax: (413) 786-9788
Type: Location
PO BOX 14890
ALBANY, NY 122124890
Phone: (518) 525-5634
Fax: (518) 649-4094
Type: Mailing
5 PALISADES DR STE 100
ALBANY, NY 122056433
Phone: (518) 438-4496
Fax: (518) 438-5803
Type: Location
65 Cooper St
Innovative Physician Services, LLC
Agawam, MA 010012149
Phone: (413) 786-8000
Fax: (413) 786-9788
Type: Location
2 New Hampshire Ave
Troy, NY 121801764
Phone: (518) 438-4496
Fax: (518) 438-5803
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: 2015-12-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150929001422 | I | Physician Assistant | NY | TBD |
| I20151204001921 | I | Physician Assistant | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 168 | 157 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 30 | 16 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 19 | 15 | $0 |
Insurance plans in this area (ZIP 01095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | WV | |
| Nurse Practitioner | NY | |
| - | NY |
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