FATIMAH GADELTAYEB MD
NPI 1124708318
Pediatrics in Springfield, IL

Q: What is Fatimah Gadeltayeb's NPI number?

The NPI number for Fatimah Gadeltayeb is 1124708318. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Q: What is Fatimah Gadeltayeb's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 21, 2023PECOS Enrolled

400 N 9TH ST # 4A, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Jul 21, 2023 (2 updates tracked since 2023).

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About Fatimah Gadeltayeb Md NPPES

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

FATIMAH GADELTAYEB MD (NPI 1124708318) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (125081656) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124708318

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameFATIMAH GADELTAYEBCredential: MD

Location Address400 N 9TH ST # 4ASpringfield, IL 62702-5310

Mailing AddressPo Box 19658Springfield, IL 62794-9658 · (217) 545-8000 · Fax (217) 545-2303

Phone(217) 545-8000

Sole ProprietorNo

Enumeration DateJuly 21, 2023

Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1124708318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125081656

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

400 N 9TH ST # 4A, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatimah Gadeltayeb Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 20

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

JOHN PADANILAM

Pediatrics