Omar Abdulfattah, MD
NPI 1205259330 · Pulmonary Disease Physician · Springfield, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Omar Abdulfattah, MD is a Pulmonary Disease Physician provider in Springfield, IL (NPI 1205259330).
Provider details
- NPI number
- 1205259330
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036.153801 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,027 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 229 | $114 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 132 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 81 | $86 |
| Critical Care, First 30-74 Minutes99291 | 79 | $207 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 76 | $172 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 366 | 137 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 245 | 56 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 185 | 47 |
| Montelukast Sodium | 161 | 35 |
| Prednisone | 139 | 62 |
| Umeclidinium Bromidebrand: Incruse Ellipta | 122 | 38 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$178 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 20733 N Broad StCarlinville, IL 62626-3710Phone: (217) 545-8000Fax: (217) 854-6462
- 2 Memorial Dr Fl 1Decatur, IL 62526-3950Phone: (217) 872-2930Fax: (217) 872-2979
- 520 N 4th StSpringfield, IL 62702-5238Phone: (217) 545-8000Fax: (217) 757-8161
- 751 N Rutledge St Ste 1100Springfield, IL 62702-4968Phone: (217) 545-8000Fax: (217) 545-4735
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Omar Abdulfattah's NPI number?
- Omar Abdulfattah's National Provider Identifier (NPI) is 1205259330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Omar Abdulfattah's specialty?
- Omar Abdulfattah is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Omar Abdulfattah located?
- Omar Abdulfattah's practice location on file with NPPES is 751 N Rutledge St Ste 1700, Springfield, IL 62702-4968.
- What is Omar Abdulfattah's phone number?
- The practice phone number listed in the NPPES registry for Omar Abdulfattah is (217) 545-8000.
- Does Omar Abdulfattah accept Medicare?
- Omar Abdulfattah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Omar Abdulfattah's NPI active?
- Yes — Omar Abdulfattah's NPI (1205259330) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.