DR. QAHTAN A ABDULFATTAH MD NPI 1558370411

NPI Information

  • NPI: 1558370411
  • Provider Name: DR. QAHTAN A ABDULFATTAH, MD
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11323 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 596-8344

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NPI Details

DR. Qahtan A Abdulfattah, MD is a neuromusculoskeletal medicine sports medicine in Brooksville, FL with 32 years of experience. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ DR. Qahtan A Abdulfattah, MD NPI is 1558370411. 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:

11323 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-407
Phone: (352) 596-8344
Fax: (352) 597-2898

The NPI 1558370411 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Needle measurement of electrical activity in arm or leg muscles, limited study (HCPCS:95885)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face (HCPCS:64615)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Nerve conduction, 7-8 studies (HCPCS:95910)
  • Nerve conduction, 11-12 studies (HCPCS:95912)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 8/7/2006 and was last updated on 7/21/2022.

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
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineME92671FLORIDAYes

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
1P01426390OTHERFLORIDARAILROAD MCR LINKED TO GRP#DR6927
2311869OTHERFLORIDAAVMED
3316584OTHERFLORIDAWELLCARE
4000238700MEDICAIDFLORIDA
503396OTHERFLORIDABCBS OF FL

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: 3/30/2025

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