Active NPI
Abdulsattar Zidan, MD
- Pediatrics Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31147
- Practice address
- 1845 Cherry St
Montgomery, AL 36107-2613 - Phone
- (334) 420-5001
- Fax
- (334) 420-0158
- NPI assigned
- Aug 1, 2008
- Last updated
- May 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31147 | AL | Primary |
Addresses
Primary practice location
1845 Cherry St
Montgomery, AL 36107-2613
Mailing address
1020 Southlake CV
Hoover, AL 35244-3282
Phone (304) 840-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services, Inc. | Current | Accepting new patients | |
| Hoover Pediatrics Inc | Pediatrics | Current | Accepting new patients |
| Health Services Inc | Current | Accepting new patients | |
| Health Services Inc | Current | Accepting new patients |
Locations
203 N Taylor St
Autaugaville, AL 36003
Phone (334) 263-2301
107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478
511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516
Interoperability endpoints
- abdulsattar.zidan.1@14429.direct.athenahealth.com
- https://api.platform.athenahealth.com/14429/brand/5/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/HEAEDD/Endpoint/HEAEDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hayneville Family Health Center
- Federally Qualified Health Center (FQHC)
- Hayneville, AL
- NPI 1598788218
-
- Pediatrics Physician
- Hoover, AL
- NPI 1326898669
-
dba Autaugaville Family Health Center
- Federally Qualified Health Center (FQHC)
- Autaugaville, AL
- NPI 1992727853
-
dba Living Well Specialty Clinic
- Federally Qualified Health Center (FQHC)
- Montgomery, AL
- NPI 1184284986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1003072794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SOUTHLAKE CV",
"city": "HOOVER",
"state": "AL",
"postal_code": "352443282",
"telephone_number": "304-840-3001",
"fax_number": "205-238-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 CHERRY ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361072613",
"telephone_number": "334-420-5001",
"fax_number": "334-420-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIDAN",
"first_name": "ABDULSATTAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "31147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.