Audai Abedrabboh Alrwashdeh
NPI 1104479781ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Rochester, MN
Pathology, Anatomic Pathology & Clinical Pathology with Southern California Permanente Medical Group, practicing in Rochester, Minnesota. Enrolled in Medicare as practitioner - pathology and practitioner - pathology.
Overview
| NPI | 1104479781 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 22, 2019 |
| Last updated in NPPES | Oct 27, 2023 |
| Certified by provider | Oct 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 73249 | MN |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | R-11423 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (CA); Practitioner - Pathology (MN) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Pathology |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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