Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bashir Abdul-Wadud, PA-C

Individual provider Medical Physician Assistant · NPI 1871510883

Mr. Bashir Abdul-Wadud, PA-C is a Physician Assistant in Albany, New York. Qualified in 2004, 22 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
22
Licensed in
MA, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5 Palisades Dr Ste 100
Albany, NY 12205-6433
Phone: (518) 438-4496
Fax: (518) 438-5803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 65 Cooper St, Agawam, MA 01001-2149 — (413) 786-8000
  • 2 New Hampshire Ave, Troy, NY 12180-1764 — (518) 438-4496

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA057997 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1876 (MA)

Record details

NPI number1871510883
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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