DR. AMARA ZULFIQAR FAZAL (MD) – Internal Medicine Physician, NPI 1710446802

DR. AMARA ZULFIQAR FAZAL (MD) is a healthcare provider. based in Hernando, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 92626 (GA). The NPI Number for DR. AMARA ZULFIQAR FAZAL (MD) is 1710446802

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMARA ZULFIQAR FAZAL (MD)
NPI
1710446802
Phone
(352) 613-5862
Address
1350 N MAN O WAR DR
Enumeration Date
18 March 2019
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2019 (7 years ago)
PAC ID
8628306917
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20250519003477
Address ID
GA303221013AT1365XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. AMARA ZULFIQAR FAZAL (MD)

  • 1350 N MAN O WAR DR

    HERNANDO, FL 344425213

    Phone: (352) 613-5862

    Type: Mailing

  • 49 JESSE HILL JR DR SE

    ATLANTA, GA 303033049

    Phone: (404) 778-7777

    Type: Location

  • PO BOX 191076

    ATLANTA, GA 311191076

    Phone:

    Type: Mailing

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: 2025-05-19

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
I20250519003477IInternal MedicineGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34442)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Is there an official ID for DR. AMARA ZULFIQAR FAZAL (MD) in U.S. healthcare records?
The official identifier for DR. AMARA ZULFIQAR FAZAL (MD) is NPI 1710446802.
Is DR. AMARA ZULFIQAR FAZAL (MD) still an active registrant?
DR. AMARA ZULFIQAR FAZAL (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. AMARA ZULFIQAR FAZAL (MD)?
At a glance, DR. AMARA ZULFIQAR FAZAL (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. AMARA ZULFIQAR FAZAL (MD)?
Directory geography for DR. AMARA ZULFIQAR FAZAL (MD) centers on Hernando, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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