Ahmed Aly Abdel Fadil, MD
Individual provider Active NPI Pulmonary Disease Physician · Tampa, FL
NPI 1023072709 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1023072709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- ME142340 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- 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
- St Josephs Hospital
- Tampa General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240403000471 | FL | Practitioner - Pulmonary Disease |
2264419621 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York Doctor PLLC | Pulmonary Disease | Current |
Accepting new patients |
| Cardiac Vision LLC | Current |
Accepting new patients | |
| Northeast Insomnia & Sleep Center LLC | Pulmonary Disease | Past |
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
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- tammy@thenewyorkdoctor.kareodirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 196563 | NY | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME142340 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME142340 | FL | Yes |
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
Other providers in Tampa, FL
- Abd-El-Rahman Mostafa Abd-El-Barr
- Beshoy Abdalla
- Mahmoud H Abdalla
- Enas Abdallah
- Reem Abdallah
- Yassmeen Abdel-Aty
- Jasmine Abdel
- Qassem Khaled Abdelal
- Karim Said Abdelghafour
- Sarah M Abdelghani
All providers in Tampa, FL · Pulmonary Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.