Mohammed Abdulfatah, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD88665 Issued in SC

Practice address

1768 Village Park Dr
Orangeburg, SC 29118-2457

Phone

(803) 359-2224

Fax

(803) 539-2234

NPI assigned

Apr 8, 2017

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Rheumatology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthnomic Partners LLCGroup PAC ID 7315342094, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Medical Center Hospital, Charleston, SC, CCN 420004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmohammed.adulfatah.p1@direct.aocsc.nextgenshare.com
• Direct secure messaging: mabdulfatah19347@gwmfa.direct-ci.com
• Direct secure messaging: mohammedabdulfatah@sh.allscriptsdirect.net

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.

• Healthnomic Partners LLC

  dba Sagebrush Healthcare

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1740850106

  SC

  Medicare reassignment Care Compare group NPD

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

• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1073605879
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center

  • Rehabilitation Hospital
  • Orangeburg, SC
  • NPI 1154020147
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1659435840
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch

  • Psychiatric Hospital
  • Orangeburg, SC
  • NPI 1669171740
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston

  • General Acute Care Hospital
  • Orangeburg, SC
  • NPI 1710683354
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston

  • General Acute Care Hospital
  • Orangeburg, SC
  • NPI 1770280299
  Care Compare affiliation

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1285167023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8379 W SUNSET RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132243",
            "telephone_number": "702-968-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 VILLAGE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182457",
            "telephone_number": "803-359-2224",
            "fax_number": "803-539-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULFATAH",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "10955488-1205",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "MD048499",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "MD88665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 24/7 Ideal Homecare Agency LLC
• A & P Transportation LLC
• A Village Home Care LLC
• Sabina K Abbasova, DPM
• Jehad S Abdalla, M.D.
• Bessie B Abraham, MSW LISW AP
• Abundant Life Corp Inc
• Amy Thompson Adams, RPH
• Bria Adams
• Janet Paparella Adams

• Rheumatology Physician in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Rheumatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.

Verify at the official NPI Registry.