MARY FATEHI (MD) – Gynecologic Oncology Physician, NPI 1003863945
Gynecologic Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,472 OBSTETRICS/GYNECOLOGY in NY
Provider Addresses for MARY FATEHI (MD)
PO BOX 31218
OBGYN ASSOCIATES AT LICH
HARTFORD, CT 06150
Phone: (914) 328-4500
Fax: (845) 565-6057
Type: Mailing
97 AMITY ST FL 3
OBGYN ASSOCIATES AT LICH
BROOKLYN, NY 112016004
Phone: (718) 780-1231
Fax: (718) 780-4987
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Ethicon US, LLC ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $24 |
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: 2006-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060322000305 | I | Obstetrics/Gynecology | NY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | NY | |
| P S Y C H I A T R Y | NY | |
| Diagnostic Radiology | NY | |
| N E U R O L O G Y | NY | |
| Qualified Audiologist | NY | |
| Internal Medicine | NY | |
| Endocrinology, Internal Medicine | NY | |
| P A T H O L O G Y | IL | |
| P S Y C H I A T R Y | NY | |
| N E P H R O L O G Y | NY |
Reviews
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