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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KAHTAN N FADAH D.O.
NPI 1689297723
Internal Medicine in Rochester, NY

Active since May 23, 2020PECOS Enrolled
601 ELMWOOD AVENUE, #679, ROCHESTER, NY 14642(585) 275-4290(585) 473-1573 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kahtan N Fadah D.o. NPPES

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

KAHTAN N FADAH D.O. (NPI 1689297723) is an individual internal medicine provider in Rochester, New York, licensed in Texas (W1162) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Sierra Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689297723
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKAHTAN N FADAHCredential: D.O.
Location Address601 ELMWOOD AVENUE, #679Rochester, NY 14642
Mailing Address601 Elmwood Avenue, Box 679Rochester, NY 14642 · (585) 275-4290 · Fax (585) 473-1573
Phone(585) 275-4290
Fax(585) 473-1573
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 23, 2020
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1689297723 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 TX · W1162
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
601 ELMWOOD AVENUE, Rochester, NY 14642
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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 and accepts Medicare assignment

Kahtan N Fadah D.o. 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 ID1456832807
PECOS Enrollment IDI20260224001418
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.

Hospital Affiliations CMS Care Compare 3

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

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670047
Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County
Emergency services Birthing friendly

The Hospitals Of Providence Horizon City Campus

Acute Care Hospitals · Horizon City, TX
OwnershipProprietary
CMS Certification Number670124
Location13600 Horizon Street, Suite 100Horizon City, TX 79928 · El Paso County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

ALEX PU M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
XIAOLAN OU MD
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTER
ROCHESTER, NY 14642
Monroe County (585) 275-3191
GHAZI TALIB KHAN M.D.
Internal Medicine
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
YU WING YEUNG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5662
MRS. BETH ANNE DELPAPA NP
Nurse Practitioner (Family)
601 ELMWOOD AVENUE, BOX 679-Y
ROCHESTER, NY 14642
Monroe County (585) 275-4775
DR. RAVINDER SIDHU M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2734
CHRISTOPHER MALANGA M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
CHUNKIT FUNG M.D.
Internal Medicine (Hematology & Oncology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5823

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 Kahtan Fadah's NPI number?

The NPI number for Kahtan Fadah is 1689297723. It was assigned to this individual provider in the NPPES registry on May 23, 2020.

Where is Kahtan Fadah located?

Kahtan Fadah practices at 601 Elmwood Avenue #679, Rochester, NY 14642. The listed phone number is (585) 275-4290.

What is Kahtan Fadah's specialty?

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

Is Kahtan Fadah enrolled in Medicare?

Yes. Kahtan Fadah 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.

Is Kahtan Fadah affiliated with any hospitals?

According to CMS data, Kahtan Fadah is affiliated with Sierra Medical Center, The Hospitals Of Providence - East Campus and The Hospitals Of Providence Horizon City Campus.

When was this NPI record last updated?

The NPPES record for Kahtan Fadah was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.