MICHAEL ABDELMISSEH MD – NPI #1225529241
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MICHAEL ABDELMISSEH is a physician located in DYERSBURG, TN. NPPES has assigned the NPI number 1225529241 to MICHAEL ABDELMISSEH on May 24, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 5 years ago on Oct 12, 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 MICHAEL ABDELMISSEH below.

NPI Profile for
MICHAEL ABDELMISSEH

NPI Number
1225529241
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL ABDELMISSEH
Credentials
MD
Primary location
1720 WOODLAWN AVE
DYERSBURG, TN 38024
Phone: (731) 287-4500 Fax: (731) 287-4585
1 Other location(s):
9300 Valley Childrens Pl
Madera, CA 93636
Phone: (559) 353-5141
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 12, 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
208000000X
- Pediatrics (Primary)
TN 62642
390200000X
- Student in an Organized Health Care Education/Training Program

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

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
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.