Individual provider Active NPI

Islam M Fahmi Abdou, MD

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1609131606
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
327806 Issued in NY
Practice address
4951 Center St Ste 206
Omaha, NE 68106-3252
Phone
(402) 393-3724
Fax
(402) 933-7196
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-47431 IA
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A147725 CA
Obstetrics & Gynecology Physician 207V00000X 33280 NE
Obstetrics & Gynecology Physician 207V00000X 327806 NY Primary

Addresses

Primary practice location

4951 Center St Ste 206
Omaha, NE 68106-3252

Mailing address

4951 Center St Ste 206
Omaha, NE 68106-3252
Phone (402) 933-7247

Other practice location 1

200 Hawkins Dr Rm 51210E
Iowa City, IA 52242-1009
Phone (319) 678-8097

Other practice location 2

1 Hurley Plz
Flint, MI 48503-5902
Phone (801) 262-9080

Other practice location 3

116 S Palisade Dr Ste 104
Santa Maria, CA 93454-8905
Phone (805) 739-3957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210518001664 NE Practitioner - Obstetrics/Gynecology 5799056255
I20240516000278 NY Practitioner - Obstetrics/Gynecology 5799056255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147725CAMDMarriage & Family Therapist
A147725CAMDObstetrics & Gynecology Physician
MD-47431IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince Dec 6, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Vassar Brothers Hospital Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

8002 Kew Gardens Rd
Ste 403
Kew Gardens, NY 11415
Phone (929) 485-0300

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: islamfahmiabdou@nslijmedgr.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1609131606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST STE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063252",
            "telephone_number": "402-933-7247",
            "fax_number": "402-933-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST STE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063252",
            "telephone_number": "402-393-3724",
            "fax_number": "402-933-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr Rm 51210E",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-678-8097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hurley Plz",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035902",
            "country_code": "US",
            "telephone_number": "801-262-9080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 S Palisade Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934548905",
            "country_code": "US",
            "telephone_number": "805-739-3957",
            "fax_number": "805-739-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHMI ABDOU",
        "first_name": "ISLAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "MD-47431",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A147725",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "33280",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "327806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.