NPIMap

Individual provider Active NPI

Fayez Dimitri Abboud, M.D.

  • Gastroenterology Physician
  • Troy, OH
National Provider Identifier
1427059013
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35058700 Issued in OH
Practice address
3130 N County Rd 25a
Suite 109
Troy, OH 45373-1337
Phone
(937) 440-9292
Fax
(937) 440-4227
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35058700 OH Primary

Addresses

Primary practice location

3130 N County Rd 25a
Suite 109
Troy, OH 45373-1337

Mailing address

3130 N County Rd 25a
Suite 109
Troy, OH 45373-1337
Phone (937) 440-9292

Other identifiers 2

IdentifierTypeStateIssuer
0877663MedicaidOH
AB0717543OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100824000924 OH Practitioner - Gastroenterology 2466350996 Reassigns benefits to 1 organization
I20250610000755 PA Practitioner - Gastroenterology 2466350996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone (833) 391-0654

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
84.25
Promoting interoperability
100
Improvement activities
40
Cost
72.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41
Upper gastrointestinal (GI) endoscopy for acid reflux57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058700OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Apr 1, 2025 Accepting new patients
Butler Medical Providers Gastroenterology Current Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2025 Accepting new patients
Uvpc Specialists, Inc. CurrentSince Nov 2, 2015 Accepting new patients
Uvpc Specialists Inc. CurrentSince Nov 2, 2015 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

915 Michigan St
Ste 206
Sidney, OH 45365
Phone (937) 498-2415

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

450 N Hyatt St
Ste 302
Tipp City, OH 45371
Phone (937) 435-4263

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

3130 N County Road 25A
#109
Troy, OH 45373
Phone (937) 440-9292

104 Technology Dr
Ste 202
Butler, PA 16001
Phone (724) 482-6062

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1427059013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY RD 25A",
            "address_2": "SUITE 109",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-9292",
            "fax_number": "937-440-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY RD 25A",
            "address_2": "SUITE 109",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-9292",
            "fax_number": "937-440-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "FAYEZ",
        "middle_name": "DIMITRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35058700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877663",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AB0717543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.