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ABDELFATAH SHABAN ABOU ISSA MD
NPI 1245814037
Internal Medicine in Wilkes-barre, PA

Active since May 08, 2021PECOS EnrolledAccepts Medicare Assignment
GEISINGER WYOMING VALLEY 1000 EAST MOUNTAIN BLVD WILKES, WILKES-BARRE, PA 18711(570) 808-3596(570) 808-5967 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2025, Oct 11, 2024, May 8, 2021 (3 updates tracked since 2021).

About Abdelfatah Shaban Abou Issa Md NPPES

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

ABDELFATAH SHABAN ABOU ISSA MD (NPI 1245814037) is an individual internal medicine provider in Wilkes-barre, Pennsylvania, licensed in Ohio (35.151776) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1245814037
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABDELFATAH SHABAN ABOU ISSACredential: MD
Location AddressGEISINGER WYOMING VALLEY 1000 EAST MOUNTAIN BLVD WILKESWilkes-barre, PA 18711
Mailing Address3594 Armada DrBeavercreek, OH 45431-5792 · (360) 292-0229
Phone(570) 808-3596
Fax(570) 808-5967
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 8, 2021
Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1245814037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.151776
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
GEISINGER WYOMING VALLEY 1000 EAST MOUNTAIN BLVD WILKES, Wilkes-barre, PA 18711
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11 Wyoming St Ste Se3100BDayton, OH 45409-2722 · Phone (937) 208-8394
Location 21 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 974-2111
Location 33130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466
Location 42400 Miami Valley DrCenterville, OH 45459-4774 · Phone (937) 208-8394
Location 59000 N Main StEnglewood, OH 45415-1180 · Phone (937) 208-8394

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Abdelfatah Shaban Abou Issa Md 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 ID8820523798
PECOS Enrollment IDI20241202001738
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

6

Medicare enrollment records show Abdelfatah Abou Issa reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of Ohio, Professional Corporation
380 mi
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
NPI 1043572290 (614) 234-7535
Mvhe Inc
433 mi
Family Medicine
4940 COTTONVILLE RD, SUITE 100
Jamestown, OH 45335
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1982657318 (937) 675-6830
Upper Valley Professional Corporation
450 mi
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
NPI 1407872518 (937) 440-7497
Sinclair Physician Services, LLC
453 mi
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
NPI 1063289601 (937) 208-8000
Hisey Physician Services, LLC
465 mi
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
NPI 1073380614 (513) 974-2111
K & g Dedicated Long-Term Care Associates LLC
480 mi
Hospitalist
2155 DANA AVE
Cincinnati, OH 45207
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1730735069 (513) 843-7716

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 3

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services32 patients
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.
36 services19 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 Abdelfatah Abou Issa's NPI number?

The NPI number for Abdelfatah Abou Issa is 1245814037. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Abdelfatah Abou Issa located?

Abdelfatah Abou Issa practices at Geisinger Wyoming Valley 1000 East Mountain Blvd Wilkes, Wilkes-Barre, PA 18711. The listed phone number is (570) 808-3596.

What is Abdelfatah Abou Issa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abdelfatah Abou Issa enrolled in Medicare?

Yes. Abdelfatah Abou Issa 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 Abdelfatah Abou Issa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdelfatah Abou Issa reassigns Medicare benefits to 6 organizations: Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Mvhe Inc (Jamestown, OH), Upper Valley Professional Corporation (Troy, OH), Sinclair Physician Services, LLC (Dayton, OH), Hisey Physician Services, LLC (Middletown, OH) and 1 more organization, listed in the Medicare section above. 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 Abdelfatah Abou Issa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdelfatah Abou Issa accept?

Health plans from CareSource list Abdelfatah Abou Issa 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 Abdelfatah Abou Issa affiliated with any hospitals?

According to CMS data, Abdelfatah Abou Issa is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Abdelfatah Abou Issa was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.