Individual provider Active NPI

Hasanali V Fatteh, MD

  • Ophthalmology Physician
  • Augusta, GA
National Provider Identifier
1821137696
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
043040 Issued in GA
Practice address
1212 Augusta West Pkwy
Suite a-1
Augusta, GA 30909-1808
Phone
(706) 364-2020
Fax
(706) 364-2022
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 043040 GA Primary

Addresses

Primary practice location

1212 Augusta West Pkwy
Suite a-1
Augusta, GA 30909-1808

Mailing address

1212 Augusta West Pkwy
Suite a-1
Augusta, GA 30909-1808
Phone (706) 364-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080201000328 GA Practitioner - Ophthalmology 6901988708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 210-0771

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043040GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Eye Center Inc Ophthalmology CurrentSince Aug 9, 1999 Accepting new patients
Ophthalmology Consultants, LLC CurrentSince Nov 2, 2020 Accepting new patients

Locations

1212 Augusta West Pkwy
#A1
Augusta, GA 30909
Phone (706) 364-2020

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1821137696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY",
            "address_2": "SUITE A-1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-364-2020",
            "fax_number": "706-364-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY",
            "address_2": "SUITE A-1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-364-2020",
            "fax_number": "706-364-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTEH",
        "first_name": "HASANALI",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "043040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.