OMAR ZUHAIR ABDULFATTAH MD NPI 1205259330

NPI Information

NPI: 1205259330
Provider Name: OMAR ZUHAIR ABDULFATTAH, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
Get Directions

Omar Zuhair Abdulfattah, MD is a pulmonary disease internal medicine in Springfield, IL with 26 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Omar Zuhair Abdulfattah, MD NPI is 1205259330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL
ZIP 62702-968
Phone: (217) 545-8000
Fax: (217) 545-3782

The NPI 1205259330 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2014 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		036.153801	ILLINOIS	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	036.153801	ILLINOIS	No
3	207RS0012X	Internal Medicine	Sleep Medicine	036.153801	ILLINOIS	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	036.153801	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036153801	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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