Individual provider Active NPI

Fadel Abdulhai, D.O.

  • Family Medicine Physician
  • Moorpark, CA
National Provider Identifier
1477797124
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 11553 Issued in CA
Practice address
885 Patriot Dr Ste F
Moorpark, CA 93021-3353
Phone
(805) 334-1371
Fax
(805) 532-2844
NPI assigned
Apr 25, 2009
Last updated
Oct 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A 11553 CA Primary

Addresses

Primary practice location

885 Patriot Dr Ste F
Moorpark, CA 93021-3353

Mailing address

885 Patriot Dr Ste F
Moorpark, CA 93021-3353
Phone (805) 334-1371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20110926000130 CA Practitioner - Family Practice 6103097035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

885 Patriot Dr
Suite F
Moorpark, CA 93021-3353
Phone (805) 334-1371

885 Patriot Dr F
Moorpark, CA 93021-3353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 11553CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fadelabdulhai@patfm.allscriptsdirect.net

Organizations & group practices 2

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 1

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": "1240617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1477797124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PATRIOT DR STE F",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213353",
            "telephone_number": "805-334-1371",
            "fax_number": "805-532-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 PATRIOT DR STE F",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213353",
            "telephone_number": "805-334-1371",
            "fax_number": "805-532-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULHAI",
        "first_name": "FADEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-25",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 11553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.