Hiba Ahmed Fadoul, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

80197 Issued in GA

Practice address

5445 Meridian Mark Rd Ste 420
Atlanta, GA 30342-4755

Phone

(404) 785-5437

Fax

(404) 785-9022

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Choa Multispecialty, LLC

  • Pediatrics Physician
  • Brookhaven, GA
  • NPI 1437493467

  Pediatric Endocrinology

  NPD (past)
• Scottish Rite Children'S Medical Center

  • Pediatric Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1184779332
  NPD (past)
• Scottish Rite Childrens Medical Ctr

  • Children's Hospital
  • Atlanta, GA
  • NPI 1922178789
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1366739229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424755",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424755",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADOUL",
        "first_name": "HIBA",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "GA",
            "license": "80197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "5445 Meridian Mark Rd Ste 420",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303424755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jo D Faddis, DMIN
• Toral M Fadia, M.D.
• Oluwatoyin Genevieve Fadipe, PHARMD
• Hafiz Elsayed Fadl, MD
• Doris Fadoju, MD
• Christopher Joseph Fagan
• Donielle Fagan, PH.D.
• Maurice J Fagan III, M.S., DMD
• Ryan Patrick Fagan, M.D., M.P.H.
• Sydney Fagan, LPN

• Pediatric Endocrinology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Endocrinology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.