BASIL M FATHALLA M.D.
NPI 1205879954
Pediatrics - Pediatric Rheumatology in Detroit, MI
About Basil M Fathalla M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BASIL M FATHALLA M.D. (NPI 1205879954) is an individual pediatric rheumatology provider in Detroit, Michigan, licensed in Pennsylvania (MD427787) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Basil M Fathalla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Basil Fathalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 360 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
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 Basil Fathalla's NPI number?
The NPI number for Basil Fathalla is 1205879954. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Basil Fathalla located?
Basil Fathalla practices at 3901 Beaubien St Children's Hospital Of Mi, Detroit, MI 48201. The listed phone number is (215) 427-5094.
What is Basil Fathalla's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.
Is Basil Fathalla enrolled in Medicare?
Yes. Basil Fathalla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Basil Fathalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Basil Fathalla reassigns Medicare benefits to University Pediatricians (Detroit, MI). 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 Basil Fathalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Basil Fathalla accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Basil Fathalla 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 Basil Fathalla was last updated on May 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Basil M Fathalla, M.D. · NPI 1205879954
Pediatric Rheumatology physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1205879954 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Pediatrics - Pediatric Rheumatology · taxonomy 2080P0216X
- **State license:** MD427787 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3901 BEAUBIEN ST, CHILDREN'S HOSPITAL OF MI, Detroit, MI 48201-2119
- **Phone:** (215) 427-5094
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Pediatricians (NPI 1033143904, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2009
- **Other identifiers:** Medicaid 1014672880001 (PA); Medicare ID-Type Unspecified 097803; Medicare UPIN G93282
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Source: [NPI Profile](https://npiprofile.com/npi/1205879954) · Data from the CMS NPPES public registry.