FAZILATH FATIMA MD
NPI 1962429571
Internal Medicine in Fountain Valley, CA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(657) 241-3592 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2016, Jul 14, 2016 (2 updates tracked since 2016).

About Fazilath Fatima Md NPPES

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

FAZILATH FATIMA MD (NPI 1962429571) is an individual internal medicine provider in Fountain Valley, California, licensed in California (C133691) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1962429571
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFAZILATH FATIMACredential: MD
Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720
Mailing Address17360 Brookhurst St, Attn: Credentialing DepartmentFountain Valley, CA 92708-3720
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 9, 20162 updates tracked since enumeration
NPI 1962429571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · C133691 Licensed in MI · 4301079615
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 ListedHospitalistTaxonomy 208M00000X · License 4301079615 (MI), 35.097068 (OH), C133691 (CA)
17360 BROOKHURST ST, Fountain Valley, CA 92708

Other Identifiers 5

Other70-0-F32947-0MI · Bcbs Cpin
Medicaid5178262-10MI
Other1962429571MI · Npi
Medicare UPINI68047MI
Medicare PINP28070101MI

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

Fazilath Fatima 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 ID4981706074
PECOS Enrollment IDI20150814012627
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 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 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.
148 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services32 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.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

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.

Hospitalist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Pharmacist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Dietitian, Registered
17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Pediatrics
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

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 Fazilath Fatima's NPI number?

The NPI number for Fazilath Fatima is 1962429571. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Fazilath Fatima located?

Fazilath Fatima practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (657) 241-3592.

What is Fazilath Fatima's specialty?

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

Is Fazilath Fatima enrolled in Medicare?

Yes. Fazilath Fatima 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.

When was this NPI record last updated?

The NPPES record for Fazilath Fatima was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.