Individual provider Active NPI

Thaer Saqer Mustafa Abdelfattah, M.D.

  • Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1346796091
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
52886 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 934-4011
NPI assigned
Aug 31, 2016
Reactivated
Jun 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD19125 RI
Gastroenterology Physician 207RG0100X 52886 AL Primary
Internal Medicine Physician 207R00000X 57027521 OH

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35233-1900

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other practice location 1

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-6510

Other practice location 2

50 Maude St
Providence, RI 02908-4325
Phone (401) 456-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, AL2 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
I20230711001088 RI Practitioner - GastroenterologyPractitioner - Internal Medicine 2163757238 Reassigns benefits to 2 organizations
I20260623001866 AL Practitioner - Gastroenterology 2163757238

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLC 71 clinicians
University of Alabama Health Services Foundation, PC 2,784 clinicians

Practice addresses (Care Compare)

1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Upper gastrointestinal (GI) endoscopy for acid reflux96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57027521OHMDInternal Medicine Physician
MD19125RIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Jul 17, 2023 Accepting new patients
Chartercare Physicians, LLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Elmhurst, LLC Past Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

50 Maude St
Ste 3
Providence, RI 02908

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

50 Maude St
#3
Providence, RI 02908

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

Interoperability endpoints

  • Direct secure messaging: thaer.abdelfattah.1@9000.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1346796091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-6510",
            "fax_number": "401-456-6852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Maude St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084325",
            "country_code": "US",
            "telephone_number": "401-456-6510",
            "fax_number": "401-456-6852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELFATTAH",
        "first_name": "THAER",
        "middle_name": "SAQER MUSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "deactivation_date": "2019-06-19",
        "reactivation_date": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD19125",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "52886",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57027521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.