ABDILATIF A ABDULHAKIM (MD) – Anesthesiology Physician, NPI 1104405307
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,338 ANESTHESIOLOGY in VA
Provider Addresses for ABDILATIF A ABDULHAKIM (MD)
4004 W BROAD ST APT 305
RICHMOND, VA 232303981
Phone: (678) 404-0730
Type: Mailing
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
Phone: (434) 200-1143
Fax: (434) 200-7070
Type: Location
PO BOX 1190
LAWRENCEVILLE, GA 300461190
Phone:
Type: Mailing
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 300464303
Phone: (678) 312-1000
Type: Location
665 Duluth Hwy Ste 401
Lawrenceville, GA 300464303
Phone: (678) 312-1000
Type: Location
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 $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Medtronic, Inc. ($146).
Total Amount
$146
General + Research + Ownership
Payments
1
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $146 |
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: 2025-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251203001274 | I | Anesthesiology | VA | 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 23230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| N E U R O S U R G E R Y | VA | |
| Emergency Medicine | VA | |
| Hospitalist, Family Practice | VA | |
| A N E S T H E S I O L O G Y | GA | |
| Hospitalist, Family Practice | VA | |
| General Practice, Family Practice | VA | |
| Emergency Medicine | VA | |
| Nurse Practitioner | VA |
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