NPIMap

Individual provider Active NPI

Ahmad Fadel, MD

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1285640169
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85669 Issued in FL
Practice address
1001 SE Ocean Blvd
Suite 103C
Stuart, FL 34996-2511
Phone
(772) 287-9143
Fax
(772) 287-9144
NPI assigned
Jul 31, 2006
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85669 FL Primary

Addresses

Primary practice location

1001 SE Ocean Blvd
Suite 103C
Stuart, FL 34996-2511

Mailing address

1001 SE Ocean Blvd
Suite 103C
Stuart, FL 34996-2511
Phone (772) 287-9143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071218000088 FL Practitioner - Internal Medicine 5294825022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin Primary Care LLCGroup PAC ID 0345309134, 2 clinicians

Practice addresses (Care Compare)

1001 SE Ocean BLD
Suite 103C
Stuart, FL 34996-2511
Phone (772) 287-9143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000688NYMDMental Health Counselor
24688ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Primary Care LLC Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Medical Resources, LLC Past Accepting new patients
Treasure Coast Hospitalist PL Internal Medicine Past Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients
Martin Primary Care LLC Internal Medicine Past Accepting new patients

Locations

1001 SE Ocean Blvd
Ste 103C
Stuart, FL 34996
Phone (772) 287-9143

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Solaris Healthcare ParkwayStuart, FL, CCN 105687 Skilled nursing facility Adp of the SNF Jan 1, 2016
Florida Department of Veterans AffairsPort St Lucie, FL, CCN 686128 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 30, 2023
Apr 2, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1285640169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE OCEAN BLVD",
            "address_2": "SUITE 103C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962511",
            "telephone_number": "772-287-9143",
            "fax_number": "772-287-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE OCEAN BLVD",
            "address_2": "SUITE 103C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962511",
            "telephone_number": "772-287-9143",
            "fax_number": "772-287-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEL",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.