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

Mohammad Abdallat, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1033634647

Mohammad Abdallat, MD is a Thoracic Surgery in Providence, Rhode Island. Qualified in 2014, 12 years ago. Practices with Prospect Chartercare Rwmc, LLC, a 66-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
12
Licensed in
RI
In the registry since
2017
Specialties on file
2
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

50 Maude St
Providence, RI 02908-4325
Phone: (401) 456-2077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (929) 217-7323

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence CMD20274 (RI)
Surgery Physician Taxonomy 208600000X · Licence CMD20274 (RI)

Record details

NPI number1033634647
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prospect Chartercare Rwmc, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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