SHAHAB FAREED ABDESSALAM (MD) – Pediatric Surgery Physician, NPI 1174697502
Pediatric Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
202 GENERAL SURGERY in NE
Provider Addresses for SHAHAB FAREED ABDESSALAM (MD)
Children's Hospital & Medical Center, 8200, Dodge Street, Omaha, Douglas County, Nebraska, 68114, United States
CHILDREN'S HOSPITAL
OMAHA, NE 681144113
Phone: (402) 955-5400
Type: Mailing
14000 HOSPITAL ROAD
BOYS TOWN MEDICAL CLINICS
BOYS TOWN, NE 68010
Phone: (531) 355-7400
Fax: (531) 355-6988
Type: Mailing
2401 GILLHAM RD
ATTN PROVIDER ENROLLMENT DEPT
KANSAS CITY, MO 641084619
Phone: (816) 701-5200
Fax: (816) 302-9939
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Stryker Corporation ($159).
Total Amount
$159
General + Research + Ownership
Payments
1
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $159 |
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: 2025-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20081231000077 | I | General Surgery | NE | TBD |
| I20220928001250 | I | Critical Care (Intensivists) | NJ | TBD |
| I20221024000986 | I | General Surgery | TX | TBD |
| I20240924003338 | I | General Surgery | AZ | TBD |
| I20250505001512 | I | General Surgery | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68114)
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