Active NPI
Abrahim Fahs, DO
- Family Medicine Physician
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS16977
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abrahim.fahs.1@29601.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS16977 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (FL) Inc. | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care FL Inc | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (FL) Inc. | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (FL) Inc. | Family Medicine | Current | 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
- 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.
-
dba CenterWell Senior Primary Care of Hoffner
- Internal Medicine Physician
- Orlando, FL
- NPI 1487686705
Family Medicine
-
dba Centerwell Senior Primary Care of Azalea
- Internal Medicine Physician
- Orlando, FL
- NPI 1053128413
Family Medicine
-
dba CenterWell Senior Primary Care of West Vine
- Internal Medicine Physician
- Kissimmee, FL
- NPI 1811548399
Family Medicine
-
dba CenterWell Senior Primary Care of Soldier City
- Internal Medicine Physician
- Saint Cloud, FL
- NPI 1831083187
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Home Health
- Home Health Agency
- Altamonte Springs, FL
- NPI 1518419977
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.