NPIMap

Individual provider Active NPI

Fadi F Abou-Issa, MD

  • Specialist
  • Houma, LA
National Provider Identifier
1184637084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11737R Issued in LA
Practice address
8120 Main St
Suite 301
Houma, LA 70360-3403
Phone
(985) 851-6680
Fax
(985) 872-1420
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11737R LA Primary

Addresses

Primary practice location

8120 Main St
Suite 301
Houma, LA 70360-3403

Mailing address

8120 Main St
Suite 301
Houma, LA 70360-3403
Phone (985) 851-6680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000397 LA Practitioner - Internal Medicine 3971573486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Specialist CurrentSince Feb 5, 2017 Accepting new patients
Paeon Health Services Inc Internal Medicine Current Accepting new patients
Community Care Center of Houma LLC Past Accepting new patients
Oaks of Houma Community Care Center LLC Past Accepting new patients
Med Express of Chauvin a Medical LLC Specialist PastSince Oct 26, 2006 Accepting new patients

Locations

5458 Highway 56
Chauvin, LA 70344
Phone (985) 594-5821

5458 Highway 56
#A
Chauvin, LA 70344
Phone (985) 851-6653

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8120 Main St
Ste 301
Houma, LA 70360
Phone (985) 851-6653

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

Interoperability endpoints

  • Direct secure messaging: afadi407384@direct.ochsner.org

Organizations & group practices 6

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184637084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 301",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-851-6680",
            "fax_number": "985-872-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 301",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-851-6680",
            "fax_number": "985-872-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU-ISSA",
        "first_name": "FADI",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "11737R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.