ALBERT KENNETH JABBOUR PA NPI 1013131119

NPI Information

  • NPI: 1013131119
  • Provider Name: ALBERT KENNETH JABBOUR, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9500 BONITA BEACH RD SE STE 100
    BONITA SPRINGS, FL
    ZIP 34135
  • Phone: (239) 498-9294

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NPI Details

Albert Kenneth Jabbour, PA is a medical physician assistant in Bonita Springs, FL with 32 years of experience. Albert Kenneth Jabbour, PA NPI is 1013131119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9500 BONITA BEACH RD SE STE 100
BONITA SPRINGS, FL
ZIP 34135-698
Phone: (239) 498-9294
Fax: (239) 798-7179

The NPI 1013131119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 4/12/2007 and was last updated on 2/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9117096FLORIDANo
2363AM0700XPhysician AssistantMedical516WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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