Individual provider Active NPI

Faiz Fatteh, M.D.

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1710965298
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME70598 Issued in FL
Practice address
817 S University Dr
Ste 106
Plantation, FL 33324-3345
Phone
(954) 723-0334
Fax
(954) 206-0064
NPI assigned
Jan 5, 2006
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME70598 FL Primary

Addresses

Primary practice location

817 S University Dr
Ste 106
Plantation, FL 33324-3345

Mailing address

1551 Sawgrass Corporate Pkwy
Suite 110
Sunrise, FL 33323-2828
Phone (954) 835-0750

Other identifiers 1

IdentifierTypeStateIssuer
250289500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050225000637 FL Practitioner - Internal Medicine 8022061365

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonne Medical Center Inc PastSince Jun 15, 2014 Accepting new patients
Eastside Hospitalists Inc Past Accepting new patients
South Florida Acute Care, LLC Internal Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1710965298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 110",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232828",
            "telephone_number": "954-835-0750",
            "fax_number": "954-835-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243345",
            "telephone_number": "954-723-0334",
            "fax_number": "954-206-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTEH",
        "first_name": "FAIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250289500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.