FADEL ABOU GHAIDA
NPI 1083292452
Family Medicine in Orlando, FL

Q: What is Fadel Abou Ghaida's NPI number?

The NPI number for Fadel Abou Ghaida is 1083292452. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Fadel Abou Ghaida's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Fadel Abou Ghaida was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

1055 CRYSTAL BAY LN, ORLANDO, FL 32828(407) 690-9512 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2024, Mar 29, 2021 (2 updates tracked since 2021).

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About Fadel Abou Ghaida NPPES

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

FADEL ABOU GHAIDA (NPI 1083292452) is an individual family medicine provider in Orlando, Florida, licensed in Florida (ME167079) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083292452

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameFADEL ABOU GHAIDA

Location Address1055 CRYSTAL BAY LNOrlando, FL 32828-6636

Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409 · (352) 596-6632

Phone(407) 690-9512

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 29, 2021

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1083292452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME167079

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1055 CRYSTAL BAY LN, Orlando, FL 32828

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fadel Abou Ghaida is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759825771

PECOS Enrollment IDI20240702000833

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 Reassignments

Medicare enrollment records show Fadel Abou Ghaida reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Carenow Urgent Care LLC

12 mi

Urgent Care

1171 CLIFF ROSE DR
Winter Springs, FL 32708

Reassigned Medicare billing, Florida enrollment
54 clinicians in this Medicare group

NPI 1205389905 (615) 372-3359

Halifax Healthcare Systems Inc

45 mi

Family Medicine

303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment
786 clinicians in this Medicare group

NPI 1245283530 (386) 254-4000

MD Now Medical Centers Inc

142 mi

Urgent Care

2007 PALM BEACH LAKES BLVD
West Palm Beach, FL 33409

Reassigned Medicare billing, Florida enrollment
373 clinicians in this Medicare group

NPI 1033195474 (561) 420-8555

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

285 services134 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

77 services77 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

73 services69 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32828 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fadel Abou Ghaida's NPI number?

The NPI number for Fadel Abou Ghaida is 1083292452. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Fadel Abou Ghaida located?

Fadel Abou Ghaida practices at 1055 Crystal Bay Ln, Orlando, FL 32828. The listed phone number is (407) 690-9512.

What is Fadel Abou Ghaida's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fadel Abou Ghaida enrolled in Medicare?

Yes. Fadel Abou Ghaida is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Fadel Abou Ghaida's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fadel Abou Ghaida reassigns Medicare benefits to 3 organizations: Orlando Carenow Urgent Care LLC (Winter Springs, FL), Halifax Healthcare Systems Inc (Daytona Beach, FL) and MD Now Medical Centers Inc (West Palm Beach, FL). Each 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 Fadel Abou Ghaida's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fadel Abou Ghaida accept?

Health plans from Oscar Health Maintenance Organization of Florida list Fadel Abou Ghaida 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.

Is Fadel Abou Ghaida affiliated with any hospitals?

According to CMS data, Fadel Abou Ghaida is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Fadel Abou Ghaida was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.