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FOUAD VICTOR ATALLA M.D.
NPI 1063408771
Surgery - Plastic and Reconstructive Surgery in Bowling Green, KY

Active since September 27, 2005PECOS Enrolled
1048 ASHLEY ST STE 303, BOWLING GREEN, KY 42103(270) 796-8960(270) 842-5683 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2020, Aug 23, 2019, Jul 23, 2019 (3 updates tracked since 2019).

About Fouad Victor Atalla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUAD VICTOR ATALLA M.D. (NPI 1063408771) is an individual plastic and reconstructive surgery provider in Bowling Green, Kentucky, licensed in Kentucky (33744) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063408771
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameFOUAD VICTOR ATALLACredential: M.D.
Location Address1048 ASHLEY ST STE 303Bowling Green, KY 42103-2451
Mailing Address1048 Ashley St Ste 303Bowling Green, KY 42103-2451 · (270) 796-8960 · Fax (270) 842-5683
Phone(270) 796-8960
Fax(270) 842-5683
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateOctober 7, 20203 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1063408771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in KY · 33744
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1048 ASHLEY ST STE 303, Bowling Green, KY 42103
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Other Identifiers 1

Medicaid64337447KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fouad Victor Atalla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Fouad Atalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Plastic & Reconstructive Surgery Psc
Same address
Plastic and Reconstructive Surgery
1048 ASHLEY ST STE 303
Bowling Green, KY 42103
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
NPI 1710084827 (270) 796-8960

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMONWEALTH HEALTH CORPORATION, INC.
Surgery (Plastic and Reconstructive Surgery)
1048 ASHLEY ST STE 303
BOWLING GREEN, KY 42103
Warren County (270) 796-8960
DR. KATHERINE HUBER DURNEN M.D.
Surgery (Plastic and Reconstructive Surgery)
1048 ASHLEY ST STE 303
BOWLING GREEN, KY 42103
Warren County (707) 968-9602
CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PSC
Surgery (Plastic and Reconstructive Surgery)
1048 ASHLEY ST STE 303
BOWLING GREEN, KY 42103
Warren County (270) 796-8960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fouad Atalla's NPI number?

The NPI number for Fouad Atalla is 1063408771. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Fouad Atalla located?

Fouad Atalla practices at 1048 Ashley St Ste 303, Bowling Green, KY 42103. The listed phone number is (270) 796-8960.

What is Fouad Atalla's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Fouad Atalla enrolled in Medicare?

Yes. Fouad Atalla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fouad Atalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fouad Atalla reassigns Medicare benefits to Center For Plastic & Reconstructive Surgery Psc (Bowling Green, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fouad Atalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fouad Atalla accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Fouad Atalla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fouad Atalla was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.