FIZAN ABDULLAH M.D.
NPI 1689637472
Surgery - Pediatric Surgery in Maywood, IL

Active since April 11, 2006PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fizan Abdullah M.d. NPPES

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

FIZAN ABDULLAH M.D. (NPI 1689637472) is an individual pediatric surgery provider in Maywood, Illinois, licensed in Illinois (036138914) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689637472
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameFIZAN ABDULLAHCredential: M.D.
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9000
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
NPI 1689637472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in IL · 036138914
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License D63677 (MD)
2160 S 1ST AVE, Maywood, IL 60153

Other Identifiers 1

Medicaid409107800MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fizan Abdullah M.d. 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.

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.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 Fizan Abdullah's NPI number?

The NPI number for Fizan Abdullah is 1689637472. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Fizan Abdullah located?

Fizan Abdullah practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.

What is Fizan Abdullah's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Fizan Abdullah enrolled in Medicare?

Yes. Fizan Abdullah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fizan Abdullah was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.