Individual provider Active NPI

Fouad Georges Bou Harb, MD

  • Infectious Disease Physician
  • Brooklyn, NY
National Provider Identifier
1669428165
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
238478 Issued in NY
Practice address
2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone
(516) 877-4013
NPI assigned
May 26, 2006
Last updated
Apr 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 238478 NY Primary
Internal Medicine Physician 207R00000X 238478 NY

Addresses

Primary practice location

2525 Kings Hwy
Brooklyn, NY 11229-1705

Mailing address

2417 Jericho Tpke
306
New Hyde Park, NY 11040-4710
Phone (516) 672-8841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060707000170 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 8527070788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (516) 672-8841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.67 of 100Reported as individual
Quality
78.11
Improvement activities
0
Cost
74.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238478NYMDInfectious Disease Physician

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1669428165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 JERICHO TPKE",
            "address_2": "306",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404710",
            "telephone_number": "516-672-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291705",
            "telephone_number": "516-877-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU HARB",
        "first_name": "FOUAD",
        "middle_name": "GEORGES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "238478",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.