AHMED MUTHANNA AL-TABAQCHALI (MD) – Internal Medicine Physician, NPI 1689298945
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
222 SLEEP MEDICINE in FL
Provider Addresses for AHMED MUTHANNA AL-TABAQCHALI (MD)
2220 E HAMMOND LAKE DR
BLOOMFIELD TWP, MI 48302
Phone: (212) 423-6271
Type: Mailing
2001 KINGSLEY AVE
ORANGE PARK, FL 320735148
Phone: (904) 639-8500
Type: Location
1901 1ST AVE
NEW YORK, NY 100297491
Phone: (212) 423-6271
Type: Mailing
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 $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2024-01-27 • Largest payer in this snapshot: CSL Behring ($29).
Total Amount
$52
General + Research + Ownership
Payments
2
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $29 |
| TG Therapeutics, Inc. | $23 |
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: 2025-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20250102002417 | I | Internal Medicine | FL | TBD |
| I20250327001173 | I | Sleep Medicine | MI | TBD |
| I20251216000413 | I | Internal Medicine | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Sleep Medicine | MN | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | AZ | |
| Otolaryngology, Sleep Medicine | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI |
Reviews
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