DR. MINA ATTAALLA (D.O.) – Emergency Medicine Physician, NPI 1083977458

DR. MINA ATTAALLA (D.O.) is a healthcare provider. based in Bronx, New York. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 278452 (NY). The NPI Number for DR. MINA ATTAALLA (D.O.) is 1083977458

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MINA ATTAALLA (D.O.)
NPI
1083977458
Phone
(718) 960-9000
Address
4422 3RD AVE
Enumeration Date
20 June 2012
Last Update Date
10 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7189609000
Graduation Year
2012 (14 years ago)
PAC ID
2567757917
Group Practice PAC ID
3072798941
Professional Enrollment ID
I20160824000686
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for DR. MINA ATTAALLA (D.O.)

  • 4422 3RD AVE

    BRONX, NY 104572545

    Phone: (718) 960-9000

    Type: Mailing

  • 150 BERGEN ST

    NEWARK, NJ 071032496

    Phone: (973) 972-9438

    Type: Mailing

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: 2023-09-01

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
I20230901001786IEmergency MedicineNJTBD

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
99285Emergency department visit with high level of medical decision making2929$0
99284Emergency department visit with moderate level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 10457)

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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: 3072798941View full group profile
NameSpecialtyState
Internal MedicineNY
Nurse PractitionerNY
O P T O M E T R YNY
Nurse PractitionerNY
Emergency MedicineNY
Clinical PsychologistNJ
Emergency MedicineNY
-NY
Emergency MedicineNY
-NY

Reviews

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Frequently asked questions

Is DR. MINA ATTAALLA (D.O.) listed with a National Provider Identifier?
Yes — DR. MINA ATTAALLA (D.O.) has NPI 1083977458 on file in the registry.
Is there an active status for DR. MINA ATTAALLA (D.O.)?
For scheduling context, DR. MINA ATTAALLA (D.O.) is shown as active in the registry.
What kind of doctor is DR. MINA ATTAALLA (D.O.)?
DR. MINA ATTAALLA (D.O.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in New York is DR. MINA ATTAALLA (D.O.) registered?
Use Bronx, New York as the headline location for DR. MINA ATTAALLA (D.O.) here.
When was this NPI issued?
Enumeration for DR. MINA ATTAALLA (D.O.) is noted as June 20, 2012 where the registry provides it.

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