AHMED ALY ABDELFADIL PHYSICIAN PC
NPI 1194736132
Internal Medicine - Pulmonary Disease in Staten Island, NY
About Ahmed Aly Abdelfadil Physician Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHMED ALY ABDELFADIL PHYSICIAN PC (NPI 1194736132) is a healthcare organization registered as a pulmonary disease in Staten Island, New York and active in the NPI registry since August 2006. The organization lists Ahmed Aly Abdelfadil, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ahmed Aly Abdelfadil Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ahmed Aly Abdelfadil Physician PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ahmed Aly Abdelfadil Physician PC's NPI number?
The NPI number for Ahmed Aly Abdelfadil Physician PC is 1194736132. It was assigned to this organization in the NPPES registry on August 11, 2006.
Where is Ahmed Aly Abdelfadil Physician PC located?
Ahmed Aly Abdelfadil Physician PC is located at 5947 Amboy Rd. Second Floor, Staten Island, NY 10309. The listed phone number is (718) 605-2970.
What is Ahmed Aly Abdelfadil Physician PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Ahmed Aly Abdelfadil Physician PC enrolled in Medicare?
Yes. Ahmed Aly Abdelfadil Physician PC is registered in the Medicare PECOS enrollment system.
When is Ahmed Aly Abdelfadil Physician PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ahmed Aly Abdelfadil Physician PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Ahmed Aly Abdelfadil Physician PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ahmed Aly Abdelfadil Physician PC was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Ahmed Aly Abdelfadil Physician Pc · NPI 1194736132
Pulmonary Disease organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1194736132 (Entity type: Organization)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Ahmed Abdelfadil, DIRECTOR
## Practice location
- **Address:** 5947 AMBOY RD., SECOND FLOOR, Staten Island, NY 10309-3118
- **Phone:** (718) 605-2970 · **Fax:** (718) 605-7180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Pulmonary Disease) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2011
- **Other identifiers:** Other 8V3011 (NY); Medicaid 01993008 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1194736132) · Data from the CMS NPPES public registry.