FADEL AHMED BOFARRAG (MD, MPH) – Cardiovascular Disease Physician, NPI 1003291279

FADEL AHMED BOFARRAG (MD, MPH) is a healthcare provider. based in Tamarac, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD, MPH. They hold a License No. 2015014044 (MO). The NPI Number for FADEL AHMED BOFARRAG (MD, MPH) is 1003291279

Main info

Male
16 Years Of Experience
Name
FADEL AHMED BOFARRAG (MD, MPH)
NPI
1003291279
Phone
(954) 377-3025
Address
5870 HIATUS RD
Enumeration Date
29 July 2015
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
3476852526
Professional Enrollment ID
I20260312001645
Address ID
CA946081826EM2100XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:10State licenses:3Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for FADEL AHMED BOFARRAG (MD, MPH)

  • 5870 HIATUS RD

    TAMARAC, FL 333216424

    Phone: (954) 377-3025

    Fax: (314) 434-5939

    Type: Mailing

  • 585 LEBANON ST

    MELROSE, MA 021763225

    Phone: (800) 424-3672

    Fax: (314) 434-5939

    Type: Location

  • PO BOX 19636

    SPRINGFIELD, IL 627949636

    Phone: (217) 545-8000

    Fax: (217) 545-7063

    Type: Mailing

  • 701 N 1ST ST STE D434

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-8000

    Fax: (217) 545-7063

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190115003399IHospitalistMATBD
I20260312001645IInternal MedicineILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes461214$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes203203$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7441$0
99239Hospital discharge day management, more than 30 minutes6464$0
99238Hospital discharge day management, 30 minutes or less5656$0
View full utilization report →

Insurance plans in this area (ZIP 33321)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for FADEL AHMED BOFARRAG (MD, MPH)?
FADEL AHMED BOFARRAG (MD, MPH) — NPI 1003291279 — is the standard way to identify this listing.
Does the file indicate FADEL AHMED BOFARRAG (MD, MPH) is practicing under active NPI?
Directory data currently reports FADEL AHMED BOFARRAG (MD, MPH) as active.
What is FADEL AHMED BOFARRAG (MD, MPH)'s specialty?
The listing groups FADEL AHMED BOFARRAG (MD, MPH) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for FADEL AHMED BOFARRAG (MD, MPH)?
FADEL AHMED BOFARRAG (MD, MPH)'s geographic hint is Tamarac, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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