Individual provider Active NPI

Ahmed Aly Abdel Fadil, MD

  • Pulmonary Disease Physician
  • Tampa, FL
National Provider Identifier
1023072709
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME142340 Issued in FL
Practice address
2727 W Dr Martin Luther King Jr Blvd Ste 760
Tampa, FL 33607-6358
Phone
(813) 374-0406
Fax
(813) 374-0940
NPI assigned
Apr 12, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 196563 NY
Pulmonary Disease Physician 207RP1001X ME142340 FL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME142340 FL

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd Ste 760
Tampa, FL 33607-6358

Mailing address

2727 W Dr Martin Luther King Jr Blvd Ste 760
Tampa, FL 33607-6358
Phone (813) 374-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000471 FL Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 2264419621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2727 W Dr Martin Luther King Jr Blvd
Suite 760
Tampa, FL 33607-6358
Phone (813) 374-0406

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Vision LLC CurrentSince Nov 29, 2024 Accepting new patients
The New York Doctor PLLC Pulmonary Disease CurrentSince Mar 21, 2024 Accepting new patients
Northeast Insomnia & Sleep Center LLC Pulmonary Disease PastSince Feb 18, 2008 Accepting new patients
Bayarea Pain Management Services, PA Past Accepting new patients

Locations

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

2727 W Mlk Blvd
Ste 760
Tampa, FL 33607
Phone (813) 374-0406

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tammy@thenewyorkdoctor.kareodirect.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1023072709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 760",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076358",
            "telephone_number": "813-374-0406",
            "fax_number": "813-374-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 760",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076358",
            "telephone_number": "813-374-0406",
            "fax_number": "813-374-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL FADIL",
        "first_name": "AHMED",
        "middle_name": "ALY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "196563",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME142340",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME142340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.