Look up the most recent NPI and PECOS records

Ahlam Abukhdeir

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

200 Lothrop St, Pittsburgh, PA 15213-2536

(412) 647-2345 (813) 403-2074

PECOS Enrollment

Based on the most recent information from CMS, provider Ahlam Abukhdeir is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417503269
Provider Type
Individual
Full Name
Abukhdeir, Ahlam
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
8/16/2019
Last Updated
10/9/2023

Contact Information

Practice Location

200 Lothrop St, Pittsburgh, PA 15213-2536

(412) 647-2345

Unlisted Fax

Mailing Location

6308 Whiteway Dr, Temple Terrace, FL 33617-3109

(813) 403-2074

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA064618 Pennsylvania
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA9112261 Florida

Provider Identifiers

ID	Description	Issuer
ID 104405900	Description Medicaid	Issuer Unlisted Florida
ID OIN4B	Description Other	Issuer BLUE CROSS BLUE SHIELD

Ahlam Abukhdeir

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Shaffer, Edward

Smeltzer, Tshona

Smith, Aimee

Mcginley, Maura

Tomsko, Devyn Nicole

Johnson, Natalie Carney

Decaria, Bernadette

Martin, Kelly Ann

Lee, Heather Nicole

Sulava, Natalie Kate