Dr Mustapha Kamel Abouda, MD - Medicare Family Practice in Espanola, NM

Dr Mustapha Kamel Abouda, MD is a medicare enrolled "Family Medicine" physician in Espanola, New Mexico. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Espanola Sports Medicine Pa, Los Alamos Physician Practices Llc and his current practice location is 1302 E Calle De Merced, Espanola, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 753-9292.

Dr Mustapha Kamel Abouda is licensed to practice in New Mexico (license number M020550567) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477654697.

Contact Information

Dr Mustapha Kamel Abouda, MD
1302 E Calle De Merced,
Espanola, NM 87532
(505) 753-9292
(505) 753-1866

Map and Direction




Physician's Profile

Full NameDr Mustapha Kamel Abouda
GenderMale
SpecialityFamily Practice
Experience35 Years
Location1302 E Calle De Merced, Espanola, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mustapha Kamel Abouda graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1477654697
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 04/13/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1658306253
  • Enrollment ID: I20051128000607

Medical Identifiers

Medical identifiers for Dr Mustapha Kamel Abouda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477654697NPI-NPPES
202005111OtherNMPRESBYTERIAN
98800825MedicaidNM
SX159OtherNMLOVELACE SALUD
90382OtherNMLOVELACE COMMERCIAL
NM009X52OtherNMBCBS
QMYPR0070730OtherNMMOLINA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M020550567 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Los Alamos Medical CenterLos alamos, NMHospital
Presbyterian Espanola HospitalEspanola, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Espanola Sports Medicine Pa216369141152
Los Alamos Physician Practices Llc458766154114

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mustapha Kamel Abouda allows following entities to bill medicare on his behalf.
Entity NameLos Alamos Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750330510
PECOS PAC ID: 4587661541
Enrollment ID: O20061104000041

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. Dr Mustapha Kamel Abouda 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 AddressPractice Location Address
Dr Mustapha Kamel Abouda, MD
Po Box 2219,
Espanola, NM 87532-2219

Ph: (505) 753-9292
Dr Mustapha Kamel Abouda, MD
1302 E Calle De Merced,
Espanola, NM 87532

Ph: (505) 753-9292

Reviews and Comments


Family Medicine Doctors in Espanola, NM

Amy Longfellow,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532
Phone: 505-753-7395    Fax: 505-426-3492
Michael D Wagner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Spruce St 3rd Fl Area 5, Espanola, NM 87532
Phone: 505-367-0340    Fax: 505-747-2025
Dechen Wangmo Tsewang, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Rr5 Box 446, Santa Clara Health Center, Espanola, NM 87532
Phone: 505-753-9421    Fax: 505-753-5039
Vidya Subramanian, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532
Phone: 505-367-0340    Fax: 505-367-0346
Larry L Cohen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532
Phone: 505-753-7111    Fax: 505-753-4438
Tanya P. Reyes, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532
Phone: 505-753-7218    
Enid D Lewis, RD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532
Phone: 505-753-7111    Fax: 505-753-4438

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.