MOHAMMAD ABDALLAT (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1033634647

MOHAMMAD ABDALLAT (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. CMD20274 (RI). The NPI Number for MOHAMMAD ABDALLAT (MD) is 1033634647

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMAD ABDALLAT (MD)
NPI
1033634647
Phone
(929) 217-7323
Address
825 Chalkstone Ave
Enumeration Date
4 August 2017
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014562000
Graduation Year
2014 (12 years ago)
PAC ID
0244576619
Group Practice PAC ID
0547492696
Professional Enrollment ID
I20250124001565
Address ID
RI029084728PR825XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

24 THORACIC SURGERY in RI

Provider Addresses for MOHAMMAD ABDALLAT (MD)

  • 825 Chalkstone Ave

    Providence, RI 029084728

    Phone: (929) 217-7323

    Type: Location

  • 585 FRANKLIN AVE APT 3

    BROOKLYN, NY 112382936

    Phone: (929) 217-7323

    Type: Mailing

  • 825 CHALKSTONE AVE

    PROVIDENCE, RI 029084728

    Phone: (929) 217-7323

    Type: Mailing

  • 50 MAUDE ST

    PROVIDENCE, RI 029084325

    Phone: (401) 456-2077

    Type: Location

  • 1 BROOKDALE PLZ

    BROOKLYN, NY 112123139

    Phone: (718) 240-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,363.

Total Amount is formed as General ($1,363) + Research ($0) + Ownership ($0) = $1,363.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Medtronic, Inc. ($1,105).

Total Amount

$1,363

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

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: 2025-01-24

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
I20250124001565IThoracic SurgeryRITBD

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 02908)

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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: 0547492696View full group profile
NameSpecialtyState
Medical Oncology, Internal MedicineRI
Interventional Cardiology, Cardiovascular Disease (Cardiology)RI
Cardiovascular Disease (Cardiology), Interventional CardiologyRI
Mental Health CounselorRI
-RI
Orthopedic SurgeryRI
Mental Health CounselorRI
H E M A T O L O G Y/ O N C O L O G YRI
Physician AssistantRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

How is MOHAMMAD ABDALLAT (MD) identified in CMS data?
CMS-hosted NPPES data lists MOHAMMAD ABDALLAT (MD) with NPI 1033634647.
Is MOHAMMAD ABDALLAT (MD) listed as active for patients and plans?
The listing shows MOHAMMAD ABDALLAT (MD) as active in the NPI system.
What taxonomy line describes MOHAMMAD ABDALLAT (MD)?
For research purposes, treat MOHAMMAD ABDALLAT (MD) as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MOHAMMAD ABDALLAT (MD) list a practice location?
Patients near Providence, Rhode Island may find MOHAMMAD ABDALLAT (MD) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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