Individual provider Active NPI

Abrahim Fahs, DO

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1285163642
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS16977 Issued in FL
Practice address
485 S Ronald Reagan Blvd
Longwood, FL 32750-5408
Phone
(407) 834-4849
Fax
(407) 834-4905
NPI assigned
Jun 8, 2017
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS16977 FL Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X OS16977 FL

Addresses

Primary practice location

485 S Ronald Reagan Blvd
Longwood, FL 32750-5408

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (786) 697-3549

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abrahim.fahs.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250708004775 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Addiction Medicine 1456624022 Reassigns benefits to 1 organization
I20250929001657 FL Practitioner - Family Practice 1456624022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

904 B Cypress Pkwy
Kissimmee, FL 34759-3456
Phone (407) 483-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16977FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine CurrentSince Jul 24, 2025 Accepting new patients
Centerwell Senior Primary Care FL Inc Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine CurrentSince Jun 23, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine CurrentSince Jun 23, 2025 Accepting new patients

Locations

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

904B Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

485 S Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 834-4849

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: abrahim.fahs.1@29601.direct.athenahealth.com

Organizations & group practices 4

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 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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1285163642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "786-697-3549",
            "fax_number": "865-381-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S RONALD REAGAN BLVD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505408",
            "telephone_number": "407-834-4849",
            "fax_number": "407-834-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHS",
        "first_name": "ABRAHIM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16977",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "OS16977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abrahim.fahs.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "485 S Ronald Reagan Blvd",
            "city": "Longwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327505408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.