Abdalla Eltayeb Abdalla Abdelkader, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. His current practice location is
1433 N Pennsylvania St Apt 408, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(571) 353-5912.
Abdalla Eltayeb Abdalla Abdelkader is licensed to practice in Indiana (license number 11023280A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942087457.
Physician's Profile
Full Name | Abdalla Eltayeb Abdalla Abdelkader |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1433 N Pennsylvania St Apt 408, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942087457
- Provider Enumeration Date: 09/11/2023
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436503307
- Enrollment ID: I20230926002508
Medical Identifiers
Medical identifiers for Abdalla Eltayeb Abdalla Abdelkader such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942087457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0001X | Internal Medicine - Advanced Heart Failure And Transplant Cardiology | 11023280A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 11023280A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abdalla Eltayeb Abdalla Abdelkader is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Abdalla Eltayeb Abdalla Abdelkader, MD 1800 N Capitol Ave # E371, Indianapolis, IN 46202-1218 Ph: (317) 274-0700 | Abdalla Eltayeb Abdalla Abdelkader, MD 1433 N Pennsylvania St Apt 408, Indianapolis, IN 46202-4445 Ph: (571) 353-5912 |
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