MOHAMAD BASHAR ABDELFATTAH (MD) – Internal Medicine Physician, NPI 1134539711

MOHAMAD BASHAR ABDELFATTAH (MD) is a healthcare provider. based in Fullerton, California. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. A167027 (CA). The NPI Number for MOHAMAD BASHAR ABDELFATTAH (MD) is 1134539711

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMAD BASHAR ABDELFATTAH (MD)
NPI
1134539711
Phone
(714) 481-0172
Address
2501 E CHAPMAN AVE
Enumeration Date
5 May 2014
Last Update Date
30 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144810172
Graduation Year
2014 (12 years ago)
PAC ID
2769737626
Group Practice PAC ID
2062642143
Professional Enrollment ID
I20200819000338
Address ID
CA928313187FU2501XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,780 PULMONARY DISEASE in CA

Provider Addresses for MOHAMAD BASHAR ABDELFATTAH (MD)

  • 2501 E CHAPMAN AVE

    FULLERTON, CA 928313132

    Phone: (714) 481-0172

    Type: Location

  • 550 1ST AVE

    NEW YORK, NY 100166402

    Phone: (212) 263-5506

    Type: Mailing

  • 23312 MADERO STE E

    MISSION VIEJO, CA 926912732

    Phone: (949) 292-7320

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($167).

Total Amount

$167

General + Research + Ownership

Payments

6

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$167
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200819000338IPulmonary DiseaseCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes7927$0
99214Established patient office or other outpatient visit, 30-39 minutes3222$0
View full utilization report →

Insurance plans in this area (ZIP 92831)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062642143View full group profile
NameSpecialtyState
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineCA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineCA

Reviews

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Frequently asked questions

Can I verify MOHAMAD BASHAR ABDELFATTAH (MD) with an NPI only?
You can start verification with NPI 1134539711 for MOHAMAD BASHAR ABDELFATTAH (MD), then check state licensing separately.
Does CMS list MOHAMAD BASHAR ABDELFATTAH (MD) as active?
Yes — MOHAMAD BASHAR ABDELFATTAH (MD) is active in the NPI listing used on this page.
What is MOHAMAD BASHAR ABDELFATTAH (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for MOHAMAD BASHAR ABDELFATTAH (MD) here. Clinical services aligned with this taxonomy classification.
Where is MOHAMAD BASHAR ABDELFATTAH (MD) based?
MOHAMAD BASHAR ABDELFATTAH (MD) is tied to Fullerton, California in the data we show; additional addresses may exist on the full record.
Why does MOHAMAD BASHAR ABDELFATTAH (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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