Fatima Rauf Bawany, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

81076 Issued in CT

Practice address

2777 Summer St Ste 600
Stamford, CT 06905-4323

Phone

(203) 428-4440

NPI assigned

Apr 14, 2021

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Dermatology

Education

University of Rochester School of Medicine and Dentistry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omar a Ibrahimi MD PHD LLCGroup PAC ID 0840448122, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Omar a Ibrahimi MD PHD LLC

  dba Connecticut Skin Institute

  • MOHS-Micrographic Surgery Physician
  • Stamford, CT
  • NPI 1013263847
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1104406925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREYROCK PL APT 6101",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013151",
            "telephone_number": "585-465-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 SUMMER ST STE 600",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054323",
            "telephone_number": "203-428-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWANY",
        "first_name": "FATIMA",
        "middle_name": "RAUF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "81076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yong-Son Basta, MD
• Emily Anne Bates, SLP
• Jagdish Bathija, M.D.
• Philip Joseph Bauer, D.M.D.
• Stephen Marc Bauer, MD
• Bawse Sauce LLC (SPB Nutrition Consulting)
• Bayada Home Health Care, Inc.
• Be Well Chiropractic & Wellness LLC
• Makayla Beaudoin, OTD
• Valerie Michelle Becker, MS, RDN, CDN

• Dermatology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.