WISSAM MOHAMAD ABDALLAH (M.D.) – Cardiovascular Disease Physician, NPI 1043410145

WISSAM MOHAMAD ABDALLAH (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 4301090289 (MI). The NPI Number for WISSAM MOHAMAD ABDALLAH (M.D.) is 1043410145

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
WISSAM MOHAMAD ABDALLAH (M.D.)
NPI
1043410145
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
18 July 2007
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6162678700
Graduation Year
2007 (19 years ago)
PAC ID
4486815362
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20140519001882
Address ID
MI494311906LU5XXXXDRXX301
Telehealth
Yes

Contacts

Secure Messaging
wabdallah103273@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,221 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

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Provider Addresses for WISSAM MOHAMAD ABDALLAH (M.D.)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Spectrum Health Heart and Vascular Center, 2900, Bradford Street Northeast, Grand Rapids, Kent County, Michigan, 49525, United States

    GRAND RAPIDS, MI 495256427

    Phone: (616) 885-5000

    Fax: (616) 885-5020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2023-03-06 • Largest payer in this snapshot: Abbott Laboratories ($328).

Total Amount

$328

General + Research + Ownership

Payments

2

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$328
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: 2014-05-19

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
I20140519001882ICardiovascular Disease (Cardiology)MITBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function618611$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only182178$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician174174$0
G0250Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent12884$0
93325Ultrasound of heart with color-depicted blood flow, rate and valve function113111$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

WISSAM MOHAMAD ABDALLAH (M.D.) 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)MI78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1414

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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

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Frequently asked questions

What number should I use to identify WISSAM MOHAMAD ABDALLAH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1043410145 for WISSAM MOHAMAD ABDALLAH (M.D.).
Is WISSAM MOHAMAD ABDALLAH (M.D.)'s NPI status active today?
Active status means WISSAM MOHAMAD ABDALLAH (M.D.)'s NPI record is not deactivated in the public file.
What type of care does WISSAM MOHAMAD ABDALLAH (M.D.) provide?
WISSAM MOHAMAD ABDALLAH (M.D.)'s profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WISSAM MOHAMAD ABDALLAH (M.D.)?
WISSAM MOHAMAD ABDALLAH (M.D.) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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