Individual provider Active NPI

Abdelfatah Shaban Abou Issa, MD

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1245814037
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.151776 Issued in OH
Practice address
Geisinger Wyoming Valley 1000 East Mountain Blvd Wilkes
Wilkes-Barre, PA 18711
Phone
(570) 808-3596
Fax
(570) 808-5967
NPI assigned
May 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.151776 OH Primary

Addresses

Primary practice location

Geisinger Wyoming Valley 1000 East Mountain Blvd Wilkes
Wilkes-Barre, PA 18711

Mailing address

3594 Armada Dr
Beavercreek, OH 45431-5792
Phone (360) 292-0229

Other practice location 1

9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394

Other practice location 2

2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394

Other practice location 3

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466

Other practice location 4

1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

Other practice location 5

1 Wyoming St Ste Se3100B
Dayton, OH 45409-2722
Phone (937) 208-8394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241202001738 OH Practitioner - Internal Medicine 8820523798 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians
Sinclair Physician Services, LLCGroup PAC ID 9830536911, 128 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 705-4754

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394

2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

3130 N Count Rd
Troy, OH 45373-1337

450 N Hyatt St
Tipp City, OH 45371-1433
Phone (937) 669-9978

9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.151776OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Internal Medicine CurrentSince Sep 14, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jun 20, 2025 Accepting new patients
Hisey Physician Services, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Sinclair Physician Services, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Sep 14, 2025 Accepting new patients
Mvhe, Inc Internal Medicine CurrentSince Sep 14, 2025 Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

1 Wyoming St
Ste SE3100B
Dayton, OH 45409
Phone (937) 208-8394

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

Organizations & group practices 8

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 2

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1245814037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 ARMADA DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454315792",
            "telephone_number": "360-292-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GEISINGER WYOMING VALLEY 1000 EAST MOUNTAIN BLVD WILKES",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18711",
            "telephone_number": "570-808-3596",
            "fax_number": "570-808-5967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151180",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Miami Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594774",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-440-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450052584",
            "country_code": "US",
            "telephone_number": "513-974-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St Ste Se3100B",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOU ISSA",
        "first_name": "ABDELFATAH",
        "middle_name": "SHABAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-08",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.151776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.