Fadel Abdulhai, D.O.
Individual provider Active NPI Family Medicine Physician · Moorpark, CA
NPI 1477797124 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1477797124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A 11553 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- Los Robles Hospital & Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110926000130 | CA | Practitioner - Family Practice | 6103097035 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 11553 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Community Care | Past | Accepting new patients |
Interoperability endpoints
- fadelabdulhai@patfm.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A 11553 | CA | Yes |
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
Other providers in Moorpark, CA
- A.R. Hinkel Co., Inc
- Aaa Recovery LLC
- Aaa Treatment Solutions, LLC
- Randy Ababseh
- Sohail Abdi-Moradi
- Vanessa Marie Acero
- Anahid Acopian
- Raphaela Adadevoh
- Advanced Family Vision Center Inc
- Adventist Health Physicians Network
All providers in Moorpark, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.