Active NPI
Ahmed Abdelfattah
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125076982
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657-5640 - Phone
- (646) 827-7377
- NPI assigned
- Oct 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125076982 | IL | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Mailing address
452 W Aldine Ave Apt 318
Chicago, IL 60657-3617
Phone (646) 287-7377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231006002087 | KS | Practitioner - Internal Medicine | 5496100752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Medicine Physicians of Texas PLLC
Practice addresses (Care Compare)
14800 W Saint Teresa St
HMP of TX PLLC
Wichita, KS 67235-9602
Phone (316) 268-3976
3600 E Harry St
Via Christi Hosp St Joseph
Wichita, KS 67218-3713
Phone (316) 268-5000
929 N Saint Francis Ave
HMP of TX PLLC
Wichita, KS 67214-3821
Phone (316) 291-4396
Hospital & facility affiliations
- Ascension Via Christi Hospitals Wichita, Inc.
- Via Christi Hospital Wichita St Teresa, Inc
- NMC Health
- Hospital District #6 Patterson Health Center
- Kingman Healthcare Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125076982 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Internal Medicine, KS
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1023334950
Hospital
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
Hospital
-
- Critical Access Hospital
- Anthony, KS
- NPI 1467427674
Hospital
-
- Critical Access Hospital
- Harper, KS
- NPI 1740709955
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1245839729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 W ALDINE AVE APT 318",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573617",
"telephone_number": "646-287-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "646-827-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELFATTAH",
"first_name": "AHMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-25",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125076982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.