Omar Othman Fadeel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A44522 Issued in CA

Practice address

6900 Lincoln Ave
Buena Park, CA 90620-4148

Phone

(714) 880-3801

Fax

(714) 522-7328

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathway Medical Group IncGroup PAC ID 5092776690, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pathway Medical Group, Inc

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1902853302
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Pathway Medical Group, Inc

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1407802069

  Internal Medicine

  NPD
• Pathway Medical Group, Inc.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1407199243
  NPD
• Omar O. Fadeel, MD

  • Non-Pharmacy Dispensing Site
  • Anaheim, CA
  • NPI 1740534932
  NPD (past)
• Southern California Hospitalist Network Medical Group Inc

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1790880458
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1922060086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1746",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928221746",
            "telephone_number": "714-827-6625",
            "fax_number": "714-827-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 LINCOLN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204148",
            "telephone_number": "714-880-3801",
            "fax_number": "714-522-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEEL",
        "first_name": "OMAR",
        "middle_name": "OTHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A445221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Excellence Hospice Health Services, Inc.
• Eye Glasses Manager
• Eye RX, an Optometric Group
• Eyecare Medical Corporation
• F&M Radiology Medical Center Inc
• Mona A Fahmy, DDS
• Mirasol Fajardo, N.P.
• Family T LLC
• Nicole Feliciano
• Jerren Nikko Ferguson, DDS

• Internal Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.