DR. ISMETH SUFI ABBAS (M.D.) – Internal Medicine Physician, NPI 1245328020
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
645 HOSPITALIST in OR
Provider Addresses for DR. ISMETH SUFI ABBAS (M.D.)
PO BOX 1194
CORVALLIS, OR 973391194
Phone:
Type: Mailing
3043 NE 28TH ST
LINCOLN CITY, OR 973674518
Phone: (541) 994-3661
Type: Location
9205 SW Barnes Rd
Portland, OR 972256603
Phone: (503) 216-2906
Type: Location
1000 W Moreno St
Hospitalist Office
Pensacola, FL 325012316
Phone: (850) 469-7406
Type: Location
3043 NE 28th St
Lincoln City, OR 973674518
Phone: (541) 994-3661
Type: Location
4805 NE Glisan St
Portland, OR 972132933
Phone: (503) 215-2392
Type: Location
PO BOX 746638
ATLANTA, GA 303746638
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 322078205
Phone: (904) 202-3860
Fax: (904) 202-3846
Type: Location
Baptist Hospital, 1000, West Moreno Street, Pensacola, Escambia County, Florida, 32501, United States
HOSPITALIST OFFICE
PENSACOLA, FL 325012316
Phone: (850) 469-7406
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 $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Breas Medical, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Breas Medical, Inc. | $18 |
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: 2012-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20090227000076 | I | Internal Medicine | MO | TBD |
| I20101014000838 | I | Hospitalist | OR | TBD |
| I20120606000644 | I | Hospitalist | FL | 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 97339)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| H O S P I T A L I S T | OR | |
| Internal Medicine | OR | |
| H O S P I T A L I S T | NJ | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| H O S P I T A L I S T | AL | |
| Hospitalist, Internal Medicine, Hospitalist | OR | |
| Internal Medicine, Hospitalist, Internal Medicine | NV |
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