FATIMEH ABDALLAH (P.A.-C) – Physician Assistant, NPI 1487002218

FATIMEH ABDALLAH (P.A.-C) is a healthcare provider. based in Southgate, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 5601007782 (MI). The NPI Number for FATIMEH ABDALLAH (P.A.-C) is 1487002218

Main info

Female
10 Years Of Experience
Name
FATIMEH ABDALLAH (P.A.-C)
NPI
1487002218
Phone
(734) 283-2262
Address
13636 DIX TOLEDO RD
Enumeration Date
2 June 2016
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9497061469
Graduation Year
2016 (10 years ago)
PAC ID
8426349788
Group Practice PAC ID
7416192323
Professional Enrollment ID
I20200131001047
Address ID
CA926633681NE500XXAVEX301

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for FATIMEH ABDALLAH (P.A.-C)

  • 13636 DIX TOLEDO RD

    SOUTHGATE, MI 481952432

    Phone: (734) 283-2262

    Fax: (734) 283-8121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $280.

Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: ABBVIE INC. ($232).

Total Amount

$280

General + Research + Ownership

Payments

4

Total payment records

General Amount

$280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-01-31

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
I20160617000239IPhysician AssistantMITBD
I20200131001047IPhysician AssistantCATBD

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
99284Emergency department visit with moderate level of medical decision making3433$0
99285Emergency department visit with high level of medical decision making3129$0
View full utilization report →

Insurance plans in this area (ZIP 48195)

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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: 7416192323View full group profile
NameSpecialtyState
Physician AssistantCA
Dermatology, Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), DermatologyCA
D E R M A T O L O G YCA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the standard ID for FATIMEH ABDALLAH (P.A.-C) in the U.S.?
In the U.S., FATIMEH ABDALLAH (P.A.-C) is identified by NPI 1487002218.
Quick check: is FATIMEH ABDALLAH (P.A.-C) active?
Public NPPES data shows FATIMEH ABDALLAH (P.A.-C) with an active NPI status right now.
How should patients interpret FATIMEH ABDALLAH (P.A.-C)'s specialty?
The extract shows Physician Assistant for FATIMEH ABDALLAH (P.A.-C). Clinical services aligned with this taxonomy classification.
Is FATIMEH ABDALLAH (P.A.-C) tied to Southgate, Michigan?
If you are local to Southgate, Michigan, FATIMEH ABDALLAH (P.A.-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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