DR. NADER BISHARA AILABOUNI (DO) – Family Medicine Physician, NPI 1497728661

DR. NADER BISHARA AILABOUNI (DO) is a healthcare provider. based in Fridley, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 49646 (MN). The NPI Number for DR. NADER BISHARA AILABOUNI (DO) is 1497728661

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. NADER BISHARA AILABOUNI (DO)
NPI
1497728661
Phone
(763) 236-2500
Address
500 Osborne Rd NE Ste 255
Enumeration Date
8 February 2006
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5634210100
Graduation Year
2004 (22 years ago)
PAC ID
8022075340
Group Practice PAC ID
7214841436
Professional Enrollment ID
I20041217000350
Address ID
IA528063059DA3200XRDXX400
Telehealth
Yes

Contacts

Secure Messaging
nader.ailabouni@direct.genesishealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041217000350IFamily PracticeIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes329193$0
99214Established patient office or other outpatient visit, 30-39 minutes225166$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit184184$0
G0008Administration of influenza virus vaccine8181$0
99212Established patient office or other outpatient visit, 10-19 minutes6658$0
View full utilization report →

Insurance plans in this area (ZIP 55432)

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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: 7214841436View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
-IA
-IA
Nurse PractitionerIA
Physician AssistantAL
Internal Medicine, HospitalistNC
-IA
O B S T E T R I C S/ G Y N E C O L O G YGA
-IA
-IA

Reviews

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Frequently asked questions

Where can patients find DR. NADER BISHARA AILABOUNI (DO)'s NPI?
You can confirm DR. NADER BISHARA AILABOUNI (DO) with NPI 1497728661; it appears in the national provider directory.
Is DR. NADER BISHARA AILABOUNI (DO) active in the national directory?
DR. NADER BISHARA AILABOUNI (DO)'s public NPI profile is in an active state.
What does DR. NADER BISHARA AILABOUNI (DO) treat or focus on?
Patients typically see DR. NADER BISHARA AILABOUNI (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. NADER BISHARA AILABOUNI (DO) practice in Minnesota?
You will see Fridley, Minnesota on file for DR. NADER BISHARA AILABOUNI (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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