Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adel Boutros Abi-Hanna, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1629014576

Adel Boutros Abi-Hanna, MD is an Undefined Physician Type (Specify) in San Jose, California. Qualified in 1989, 37 years ago. Practices with Lpch Medical Group Div of Lucile, a 337-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2577 Samaritan Dr Ste 725
San Jose, CA 95124-4105
Phone: (650) 853-4933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence A69355 (CA)

Record details

NPI number1629014576
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Lpch Medical Group Div Of Lucile — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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