JACK ABBOUDI M.D. – NPI #1790746162
Orthopaedic Surgery

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

JACK ABBOUDI is an orthopaedic surgeon located in BRYN MAWR, PA. NPPES has assigned the NPI number 1790746162 to JACK ABBOUDI on March 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XS0106X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Hand Surgery

The NPI profile was previously updated about 5 years ago on Nov 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK ABBOUDI below.

NPI Profile for
JACK ABBOUDI

NPI Number
1790746162
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK ABBOUDI
Credentials
M.D.
Primary location
825 OLD LANCASTER RD
BRYN MAWR, PA 19010-3231
Phone: (800) 321-9999 Fax: (267) 479-1321
3 Other location(s):
400 Enterprise Dr
Limerick, PA 19468-1218
Phone: (800) 321-9999
Fax: (267) 479-1321
650 Carnegie Blvd Ste 220A
Malvern, PA 19355-0367
Phone: (800) 321-9999
Fax: (267) 479-1321
925 Chestnut Street
Fifth Floor
Philadelphia, PA 19107
Phone: (267) 339-3500
Fax: (215) 503-0580
Mailing address
833 CHESTNUT ST STE 502
PHILADELPHIA, PA 19107-4405
Phone: (800) 321-9999 Fax: (267) 339-3761
Sole Proprietor
No
Updated
Certification Date
Nov 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0106X
- Orthopaedic Surgery / Hand Surgery (Primary)		 PA MD059555L
207X00000X
- Orthopaedic Surgery		 NY 308173

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
RUTGERS NEW JERSEY MEDICAL SCHOOL - Graduated 1994
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK ABBOUDI is affiliated with the following medical group(s):
  • HOSPITAL
    • BRYN MAWR HOSPITAL
      130 SOUTH BRYN MAWR AVE
      BRYN MAWR, PA 19010
    • MAIN LINE HOSPITAL LANKENAU
      100 LANCASTER AVE
      WYNNEWOOD, PA 19096
    • PAOLI HOSPITAL
      255 WEST LANCASTER AVENUE
      PAOLI, PA 19301

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.