MAZEN A ABBOUD DPM NPI 1669417143

NPI Information

  • NPI: 1669417143
  • Provider Name: MAZEN A ABBOUD, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13417 US HIGHWAY 301
    SUITE B
    DADE CITY, FL
    ZIP 33525
  • Phone: (813) 778-0440

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NPI Details

Mazen A Abboud, DPM is a foot and ankle surgery podiatrist in Dade City, FL with 22 years of experience. Mazen A Abboud, DPM NPI is 1669417143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

13417 US HIGHWAY 301
SUITE B
DADE CITY, FL
ZIP 33525-446
Phone: (813) 778-0440
Fax: (813) 355-5019

The NPI 1669417143 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).

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, 30-39 minutes (HCPCS:99214)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Incision of connective tissue of foot and/or toe (HCPCS:28008)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Strapping, unna boot (HCPCS:29580)
  • Simple separation of fingernail or toenail from nail bed, each additional nail (HCPCS:11732)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/24/2021.

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
1213ES0103XPodiatristFoot & Ankle SurgeryPO3233FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1340592300MEDICAIDFLORIDA
2P01170435OTHERFLORIDAR&R MEDICARE

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: 3/30/2025

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