Active NPI
Hadeel Khaled Othman Al Fares
- Internal Medicine Physician
- Anderson, IN
National Provider Identifier
1447822804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01100730A
- Practice address
- 3125 S Scatterfield Rd Ste 310
Anderson, IN 46013-1804 - Phone
- (317) 621-1006
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 01100730A | IN | Primary |
Addresses
Primary practice location
3125 S Scatterfield Rd Ste 310
Anderson, IN 46013-1804
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
4301 W Markham St # 634
Little Rock, AR 72205-7101
Phone (501) 686-5162
Other practice location 2
3321 S Bowman Rd Apt 827
Little Rock, AR 72211-4680
Phone (501) 817-5448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1447822804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 S SCATTERFIELD RD STE 310",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460131804",
"telephone_number": "317-621-1006"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 634",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-5162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3321 S Bowman Rd Apt 827",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722114680",
"country_code": "US",
"telephone_number": "501-817-5448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL FARES",
"first_name": "HADEEL",
"middle_name": "KHALED OTHMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01100730A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.