A Abdalla, Inc
NPI 1396283628ActiveOrganization· Internal Medicine, Nephrology· Jacksonville, FL
Internal Medicine, Nephrology in Jacksonville, Florida, registered in NPPES in February 2017. The authorized official on file is Melissa Cochran, Credentialing Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396283628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2017 |
| Last updated in NPPES | Dec 23, 2020 |
| Certified by provider | Dec 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | ME128260 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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