Nourhan Abdelfattah
Individual provider Active NPI Registered Dietitian · Hanover, MD
NPI 1154022283 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1154022283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 2913 Stagg LN
Hanover, MD 21076-2345 - Phone
- (443) 454-7480
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Health Weight Management, LLC
Practice addresses (Care Compare)
1099 Winterson Rd
Suite 300
Linthicum, MD 21090-2279
1350 Blair Dr
Suite F
Odenton, MD 21113-1333
Phone (443) 407-0526
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230518002270 | MD | Practitioner - Registered Dietitian Or Nutrition Professional | 9931565819 | Reassigns benefits to 1 organization |
| I20240320003837 | DC | Practitioner - Registered Dietitian Or Nutrition Professional | 9931565819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Weight Management, LLC | Dietitian, Registered | Current |
Accepting new patients |
| Everfit Inc | Dietitian, Registered | Past | Accepting new patients |
| Henry Ford Health Rochester Hospital | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients |
Locations
620 W Macphail Rd
Ste 102
Bel Air, MD 21014
Phone (443) 819-3648
6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581
499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832
850 Oak St
Frederick, MD 21703
Phone (301) 689-8374
1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785
1350 Blair Dr
Ste F
Odenton, MD 21113
Phone (443) 230-3956
Interoperability endpoints
- abdelfattah.nourhan@ca-md.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
2913 Stagg LN
Hanover, MD 21076-2345
Mailing address
2913 Stagg LN
Hanover, MD 21076-2345
Other providers in Hanover, MD
All providers in Hanover, MD · Registered Dietitian in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2023. 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.
- 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.