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Active NPI 1326136243 Individual Practitioner Female Practitioner

Dr. Carol N Abalihi , MD

Internal Medicine • El Paso, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Carol Abalihi, MD is a certified Internal Medicine practicing in El Paso, TX. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Abalihi delivers high-quality medical care to the local community at 12350 PASEO NUEVO DR.

Dr. Abalihi accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, chronic care management services, first, residence visit for established patient with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12350 Paseo Nuevo Dr

El Paso, TX 799285668

Telephone 9152254470
Fax 9155338055
Associated Practice Facility / Clinic
🏢 Carol N. Abalihi, Md, Pa Facility NPI 1265684856

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in El Paso, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs +20.4 yrs vs City Avg
City Avg: 21.6 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
275 Specialists

Practicing in El Paso, TX (9538 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
30.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abalihi (42 Years) 42 Yrs
El Paso Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
428 48 $186.00 $148.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
314 65 $100.00 $60.82
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
128 38 $250.00 $177.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
107 47 $149.00 $123.17
99213 Established patient office or other outpatient visit, typically 15 minutes
91 31 $145.74 $87.38
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
71 33 $30.00 $15.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
34 18 $126.00 $104.36
36415 Insertion of needle into vein for collection of blood sample
31 21 $8.00 $7.84
99497 Advance care planning, first 30 minutes
29 27 $120.00 $73.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
29 29 $200.00 $124.75
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
23 17 $100.00 $46.52
81002 Urinalysis, manual test
22 15 $10.00 $3.41
99306 Initial nursing facility visit, typically 45 minutes per day
17 17 $232.00 $176.17

Medical Specialties & State Licenses

CMS Verified: 2024-03-13
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX N1507

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NJ MA64547

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NM MD2011-0215

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NM MD2011-0215

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX N1507

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NJ MA64547

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
298101 (TX)
Medicaid State Provider ID
7707207 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Cassandra Eneremadu , FNP-C

Nurse Practitioner - Family

NPI 1013453711

Family Nurse Practitioner (Certified)

Darrel Welburn , FNP-C

Nurse Practitioner - Family

NPI 1174602569

Family Nurse Practitioner (Certified)

Lorena Ochoa , FNP

Nurse Practitioner - Family

NPI 1316458771

Family Nurse Practitioner

Amanda Winton , FNP

Nurse Practitioner - Family

NPI 1336508829

Family Nurse Practitioner

Sybill Venegas , FNP-BC

Nurse Practitioner - Family

NPI 1356983209

Family Nurse Practitioner (Board Certified)

Salalau Blocker , FNP-C

Nurse Practitioner - Family

NPI 1740819382

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 07, 2022

Registered at 12350 PASEO NUEVO DR, EL PASO, TX 799285668 (Tel: 9152254470)

NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2017

Registered at 3030 JOE BATTLE BLVD, SUITE B, EL PASO, TX 799382667 (Tel: 9152254470)

📍
Updated Business Mailing Address March 27, 2017

Registered at PO BOX 972990, EL PASO, TX 799972990 (Tel: 9152254470)

👤
Provider Name / Credentials Updated March 27, 2017

Recorded as CAROL ABALIHI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Pediatrics (License #N1507 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Internal Medicine (License #MA64547 in NJ)

NPI Profile Active January 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2011

Registered at 1700 N OREGON ST, SUITE 710, EL PASO, TX 799023584 (Tel: 9152254470)

📍
Updated Business Mailing Address January 12, 2011

Registered at 1700 N OREGON ST, SUITE 710, EL PASO, TX 799023584 (Tel: 9152254470)

👤
Provider Name / Credentials Updated January 12, 2011

Recorded as CAROL ABALIHI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2011

Internal Medicine (License #N1507 in TX)

🟢
Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326136243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: March 13, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 972990

El Paso, TX 799972990

Phone: 9152254470

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.