EBTISAM FADDOUL PA-C
NPI 1114294055
Physician Assistant in Stamford, CT
About Ebtisam Faddoul Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBTISAM FADDOUL PA-C (NPI 1114294055) is an individual physician assistant in Stamford, Connecticut, licensed in New York (015255-1) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Mercy College (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ebtisam Faddoul Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STAMFORD, CT 06902
STAMFORD, CT 06902
STAMFORD, CT 06902
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 Ebtisam Faddoul's NPI number?
The NPI number for Ebtisam Faddoul is 1114294055. It was assigned to this individual provider in the NPPES registry on November 21, 2011.
Where is Ebtisam Faddoul located?
Ebtisam Faddoul practices at 29 Hospital Plz Ste 501, Stamford, CT 06902. The listed phone number is (203) 276-4400.
What is Ebtisam Faddoul's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ebtisam Faddoul enrolled in Medicare?
Yes. Ebtisam Faddoul 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.
When was this NPI record last updated?
The NPPES record for Ebtisam Faddoul was last updated on July 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
