DR. RYAN ABBOUD (DO) – Family Medicine Physician, NPI 1104353077

DR. RYAN ABBOUD (DO) is a healthcare provider. based in Rochester hills, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101025222 (MI). The NPI Number for DR. RYAN ABBOUD (DO) is 1104353077

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN ABBOUD (DO)
NPI
1104353077
Phone
(248) 289-6643
Address
633 South Blvd E Ste 2200
Enumeration Date
22 May 2017
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485483060
Graduation Year
2017 (9 years ago)
PAC ID
1355769241
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20200909000998
Address ID
MI483075471RO633XXEXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. RYAN ABBOUD (DO)

  • 633 South Blvd E Ste 2200

    Rochester Hills, MI 483075471

    Phone: (248) 289-6643

    Fax: (248) 289-6643

    Type: Location

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    BINGHAM FARMS, MI 480254313

    Phone: (248) 737-0091

    Type: Location

  • West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202:48208, United States

    DETROIT, MI 482023026

    Phone:

    Type: Mailing

  • 18207 GOULD CT

    BEVERLY HILLS, MI 480255451

    Phone: (248) 219-3762

    Type: Mailing

  • 32270 TELEGRAPH RD STE 240

    BINGHAM FARMS, MI 480252457

    Phone: (248) 548-3060

    Fax: (248) 548-3078

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Novo Nordisk Inc ($174).

Total Amount

$312

General + Research + Ownership

Payments

12

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-26

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: 2020-09-09

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
I20200909000998IFamily PracticeMITBD

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 minutes5328$0
99205New patient office or other outpatient visit, 60-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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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: 0345413258View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. RYAN ABBOUD (DO)'s NPI number?
DR. RYAN ABBOUD (DO)'s NPI is 1104353077 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. RYAN ABBOUD (DO)?
For scheduling context, DR. RYAN ABBOUD (DO) is shown as active in the registry.
What clinical focus is listed for DR. RYAN ABBOUD (DO)?
At a glance, DR. RYAN ABBOUD (DO) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. RYAN ABBOUD (DO) associated with Rochester Hills?
Public fields place DR. RYAN ABBOUD (DO) around Rochester Hills, Michigan. Always confirm the exact site before visiting.
Does DR. RYAN ABBOUD (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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