ALAN MICHAEL ABDULLA (D.O.) – Emergency Medicine Physician, NPI 1508164419

ALAN MICHAEL ABDULLA (D.O.) is a healthcare provider. based in Waukesha, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 63733-21 (WI). The NPI Number for ALAN MICHAEL ABDULLA (D.O.) is 1508164419

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ALAN MICHAEL ABDULLA (D.O.)
NPI
1508164419
Phone
(262) 928-2475
Address
725 AMERICAN AVE STE 5
Enumeration Date
2 March 2011
Last Update Date
12 June 2015

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2629282475
Graduation Year
2011 (15 years ago)
PAC ID
8921319872
Group Practice PAC ID
0648242065
Professional Enrollment ID
I20150618000713
Address ID
WI531885031WA725XXAVEX319
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,309 EMERGENCY MEDICINE in WI

Provider Addresses for ALAN MICHAEL ABDULLA (D.O.)

  • 725 AMERICAN AVE STE 5

    WAUKESHA, WI 531885031

    Phone: (262) 928-2475

    Mailing address matches the actual address.

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: 2015-06-18

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
I20150618000713IEmergency MedicineWITBD

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 making219212$0
99284Emergency department visit with moderate level of medical decision making9491$0
99291Critical care, first 30-74 minutes8483$0
99283Emergency department visit with low level of medical decision making5150$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1717$0
View full utilization report →

Insurance plans in this area (ZIP 53188)

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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: 0648242065View full group profile
NameSpecialtyState
Physician AssistantWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI

Reviews

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Frequently asked questions

How do payers reference ALAN MICHAEL ABDULLA (D.O.)?
For ALAN MICHAEL ABDULLA (D.O.), use NPI 1508164419 as the unique 10-digit identifier.
Active or inactive — what applies to ALAN MICHAEL ABDULLA (D.O.)?
You should see ALAN MICHAEL ABDULLA (D.O.) as active in CMS-hosted NPPES data.
How would a patient describe ALAN MICHAEL ABDULLA (D.O.)'s focus?
For ALAN MICHAEL ABDULLA (D.O.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ALAN MICHAEL ABDULLA (D.O.) located near Waukesha?
ALAN MICHAEL ABDULLA (D.O.) currently maps to Waukesha, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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