ALA'ELDIN AHMED ABABNEH (MD) – Cardiovascular Disease Physician, NPI 1134195563

ALA'ELDIN AHMED ABABNEH (MD) is a healthcare provider. based in Saint joseph, Missouri. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 2004023901 (MO). The NPI Number for ALA'ELDIN AHMED ABABNEH (MD) is 1134195563

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
ALA'ELDIN AHMED ABABNEH (MD)
NPI
1134195563
Phone
(816) 271-1265
Address
5514 CORPORATE DR
Enumeration Date
25 February 2006
Last Update Date
28 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162711067
Graduation Year
1988 (38 years ago)
PAC ID
7911968219
Group Practice PAC ID
6709772767
Professional Enrollment ID
I20041020000774
Address ID
MO645063840SA5202XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

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Provider Addresses for ALA'ELDIN AHMED ABABNEH (MD)

  • 5514, Corporate Drive, Saint Joseph, Buchanan County, Missouri, 64507, United States

    SAINT JOSEPH, MO 645077752

    Phone: (816) 271-1265

    Fax: (816) 271-4060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-20

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
I20041020000774ICardiovascular Disease (Cardiology)MOTBD

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 64507)

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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: 6709772767View full group profile
NameSpecialtyState
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)MO
Family PracticeMO
Certified Clinical Nurse Specialist (Cns)MO
Internal MedicineMO
A N E S T H E S I O L O G YMO
-MO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

How is ALA'ELDIN AHMED ABABNEH (MD) identified in CMS data?
CMS-hosted NPPES data lists ALA'ELDIN AHMED ABABNEH (MD) with NPI 1134195563.
Can I rely on ALA'ELDIN AHMED ABABNEH (MD) being an active provider?
As of the registry snapshot, ALA'ELDIN AHMED ABABNEH (MD) is marked active.
What healthcare role does ALA'ELDIN AHMED ABABNEH (MD) hold?
Scheduling teams often label ALA'ELDIN AHMED ABABNEH (MD) under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ALA'ELDIN AHMED ABABNEH (MD)?
ALA'ELDIN AHMED ABABNEH (MD)'s geographic hint is Saint Joseph, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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