DR. IBRAHIM ABDALLA (M.D.) – Radiation Oncology Physician, NPI 1437154630

DR. IBRAHIM ABDALLA (M.D.) is a healthcare provider. based in Springfield, Missouri. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 2000158663 (MO). The NPI Number for DR. IBRAHIM ABDALLA (M.D.) is 1437154630

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. IBRAHIM ABDALLA (M.D.)
NPI
1437154630
Phone
(417) 269-8926
Address
3850 S NATIONAL AVE
Enumeration Date
15 June 2005
Last Update Date
12 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
4183785736
Group Practice PAC ID
8628092897
Professional Enrollment ID
I20081202000201
Address ID
MO658075287SP3850XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

158 RADIATION ONCOLOGY in MO

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Provider Addresses for DR. IBRAHIM ABDALLA (M.D.)

  • 3850, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    STE 100

    SPRINGFIELD, MO 658075287

    Phone: (417) 269-8926

    Fax: (417) 269-5371

    Type: Location

  • PO BOX 9007

    STE 100

    SPRINGFIELD, MO 658089007

    Phone: (417) 269-8926

    Fax: (417) 269-5371

    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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

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: 2008-12-02

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
I20081202000201IRadiation OncologyMOTBD

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
77014Ct guidance for insertion of radiation therapy fields2,10566$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy66544$0
77300Calculation of radiation therapy dose634156$0
77427Radiation treatment management, 5 treatment sessions590109$0
99213Established patient office or other outpatient visit, 20-29 minutes423336$0
View full utilization report →

Insurance plans in this area (ZIP 65807)

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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: 8628092897View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIL
-NC
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
General SurgeryMO
O T O L A R Y N G O L O G YWA
N E P H R O L O G YMO
Physician AssistantMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What identifier follows DR. IBRAHIM ABDALLA (M.D.) across health systems?
The NPI 1437154630 uniquely identifies DR. IBRAHIM ABDALLA (M.D.) in U.S. healthcare data.
Quick check: is DR. IBRAHIM ABDALLA (M.D.) active?
Public NPPES data shows DR. IBRAHIM ABDALLA (M.D.) with an active NPI status right now.
What services align with DR. IBRAHIM ABDALLA (M.D.)'s listing?
DR. IBRAHIM ABDALLA (M.D.)'s public classification highlights Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. IBRAHIM ABDALLA (M.D.)?
DR. IBRAHIM ABDALLA (M.D.) is associated with Springfield, Missouri in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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