MOHAMED HASSAN ABOU EL FADL M.D.
NPI 1780831628
Internal Medicine - Critical Care Medicine in Miami, FL

Active since August 21, 2008PECOS EnrolledAccepts Medicare Assignment
97.25/100
CMS Quality Rating
8900 N KENDALL DR, MIAMI, FL 33176(305) 661-9404(305) 661-1510 Get Directions Write a Review

NPPES record last updated: September 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2024, Sep 5, 2024, Jul 19, 2024 and 4 more (7 updates tracked since 2017).

About Mohamed Hassan Abou El Fadl M.d. NPPES

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

MOHAMED HASSAN ABOU EL FADL M.D. (NPI 1780831628) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (ME125755) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Steward North Shore Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1780831628
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMOHAMED HASSAN ABOU EL FADLCredential: M.D.
Location Address8900 N KENDALL DRMiami, FL 33176-2118
Mailing Address8600 Sw 92nd St Ste 204aMiami, FL 33156-7397 · (305) 216-7312 · Fax (305) 500-2137
Fax(305) 661-1510
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 21, 2008
Last NPPES UpdateSeptember 28, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2024
NPI 1780831628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in FL · ME125755
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License ME125755 (FL)
8900 N KENDALL DR, Miami, FL 33176

Other Names 1

Other Name (5)Mohamed Abou El Fadl M.d.

Accepted Insurance

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

Mohamed Hassan Abou El Fadl M.d. 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 ID4183889264
PECOS Enrollment IDI20170818001768
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.

Areas of Expertise CMS Part B claims 5

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.

Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
100 services61 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
67 services66 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
65 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
63 services40 patients
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.
30 services28 patients

Hospital Affiliations CMS Care Compare

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

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%675 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%54 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Surgery (Surgical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Physician Assistant
8900 N KENDALL DR
MIAMI, FL 33176
Radiology (Diagnostic Radiology)
8900 N KENDALL DR
MIAMI, FL 33176
Internal Medicine (Hospice and Palliative Medicine)
8900 N KENDALL DR
MIAMI, FL 33176
Obstetrics & Gynecology
8900 N KENDALL DR
MIAMI, FL 33176
Internal Medicine (Medical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Hospitalist
8900 N KENDALL DR
MIAMI, FL 33176
Nurse Practitioner (Family)
8900 N KENDALL DR, MIAMI CANCER INSTITUTE
MIAMI, FL 33176

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 Mohamed Abou El Fadl's NPI number?

The NPI number for Mohamed Abou El Fadl is 1780831628. It was assigned to this individual provider in the NPPES registry on August 21, 2008. The provider is also known as Mohamed Abou El Fadl M.D..

Where is Mohamed Abou El Fadl located?

Mohamed Abou El Fadl practices at 8900 N Kendall Dr, Miami, FL 33176. The listed phone number is (305) 661-9404.

What is Mohamed Abou El Fadl's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mohamed Abou El Fadl enrolled in Medicare?

Yes. Mohamed Abou El Fadl 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.

What insurance does Mohamed Abou El Fadl accept?

Health plans from CareSource, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Mohamed Abou El Fadl 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 Mohamed Abou El Fadl affiliated with any hospitals?

According to CMS data, Mohamed Abou El Fadl is affiliated with Steward North Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Mohamed Abou El Fadl was last updated on September 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.