HASSAN ALI ABBOUD – Foot & Ankle Surgery Podiatrist, NPI 1700460235

HASSAN ALI ABBOUD is a healthcare provider. based in Lincoln park, Michigan. specializing in PODIATRY. They hold a License No. 5901400525 (MI). The NPI Number for HASSAN ALI ABBOUD is 1700460235

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
HASSAN ALI ABBOUD
NPI
1700460235
Phone
(313) 603-0102
Address
2041 FORT ST
Enumeration Date
11 May 2021
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3136030102
Graduation Year
2021 (5 years ago)
PAC ID
6305386103
Professional Enrollment ID
I20240907000262
Address ID
MI481462402LI2041XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for HASSAN ALI ABBOUD

  • 2041 FORT ST

    LINCOLN PARK, MI 481462402

    Phone: (313) 603-0102

    Type: Location

  • 5404 HILLCREST ST

    GLADWIN, MI 486248930

    Phone: (313) 603-0102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $923.

Total Amount is formed as General ($923) + Research ($0) + Ownership ($0) = $923.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($537).

Total Amount

$923

General + Research + Ownership

Payments

8

Total payment records

General Amount

$923

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2024-09-07

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
I20240907000262IPodiatryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48146)

Loading plans...

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

Is HASSAN ALI ABBOUD listed with a National Provider Identifier?
Yes — HASSAN ALI ABBOUD has NPI 1700460235 on file in the registry.
Would HASSAN ALI ABBOUD appear as active to a payer?
You can treat HASSAN ALI ABBOUD as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to HASSAN ALI ABBOUD?
HASSAN ALI ABBOUD's specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is HASSAN ALI ABBOUD located near Lincoln Park?
HASSAN ALI ABBOUD currently maps to Lincoln Park, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.