Individual provider Active NPI

Nadeem H Fatteh, M.D.

  • Ophthalmology Physician
  • Augusta, GA
National Provider Identifier
1174785828
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
70104 Issued in GA
Practice address
1212 Augusta West Pkwy
Ste a-1
Augusta, GA 30909-1808
Phone
(706) 364-2020
Fax
(706) 364-2022
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 003117 GA
Ophthalmology Physician 207W00000X 4301100014 MI
Ophthalmology Physician 207W00000X 70104 GA Primary

Addresses

Primary practice location

1212 Augusta West Pkwy
Ste a-1
Augusta, GA 30909-1808

Mailing address

1212 Augusta West Pkwy
Ste a-1
Augusta, GA 30909-1808
Phone (706) 364-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151027002705 GA Practitioner - Ophthalmology 1254588403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1212 Augusta W Pkwy
Suite A1
Augusta, GA 30909-1808
Phone (706) 364-2020

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70104GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Eye Center Inc Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients

Locations

1212 Augusta West Pkwy
#A1
Augusta, GA 30909
Phone (706) 364-2020

Interoperability endpoints

  • Direct secure messaging: nfatteh@horizon.emadirect.md
  • Direct secure messaging: nfattah312973@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1174785828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY",
            "address_2": "STE A-1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-364-2020",
            "fax_number": "706-364-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY",
            "address_2": "STE A-1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-364-2020",
            "fax_number": "706-364-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTEH",
        "first_name": "NADEEM",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "003117",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301100014",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "70104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.