DR. NADER BISHARA AILABOUNI (DO) – Family Medicine Physician, NPI 1497728661
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for DR. NADER BISHARA AILABOUNI (DO)
500 Osborne Rd NE Ste 255
Fridley, MN 554322768
Phone: (763) 236-2500
Fax: (763) 236-2500
Type: Location
4321 53RD AVE
BETTENDORF, IA 527221269
Phone: (563) 421-5300
Fax: (563) 421-5309
Type: Mailing
255, Osborne Road Northeast, Fridley, Anoka County, Minnesota, 55432, United States
FRIDLEY, MN 554322768
Phone: (763) 236-2500
Fax: (763) 236-2500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: PFIZER INC. ($24).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $24 |
| Exact Sciences Corporation | $20 |
| GlaxoSmithKline, LLC. | $18 |
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: 2004-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041217000350 | I | Family Practice | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 329 | 193 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 225 | 166 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 184 | 184 | $0 |
| G0008 | Administration of influenza virus vaccine | 81 | 81 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 66 | 58 | $0 |
Insurance plans in this area (ZIP 55432)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | IN | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | AL | |
| Internal Medicine, Hospitalist | NC | |
| - | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | IA | |
| - | IA |
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