Fahad Saud Alotaibi, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

LT001035 Issued in PA

Practice address

909 Walnut St FL 3
Philadelphia, PA 19107-5211

Phone

(215) 503-7008

Fax

(215) 503-2452

NPI assigned

Oct 25, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1679395255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST APT 717",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075138",
            "telephone_number": "215-470-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-503-7008",
            "fax_number": "215-503-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOTAIBI",
        "first_name": "FAHAD",
        "middle_name": "SAUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "LT001035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laith Alomari, MD
• Prasad Aloni, FNP-C
• Michelle Alonso-Basanta, MD
• Adrian Miguel Alonso
• Deborah A. Alosi-Barber
• Terry-an Alouidor, MSW
• Ashwag Aloyouny, D.D.S., M.D.S.
• Alpa Care Concepts
• Domingo Alpajora, RN
• Seyfettin Onder Alpdogan, MD

• Neurological Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neurological Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.

Verify at the official NPI Registry.