Basil Fathalla, M.D.
NPI 1205879954 · Pediatric Rheumatology Physician · Detroit, MI
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Basil Fathalla, M.D. is a Pediatric Rheumatology Physician provider in Detroit, MI (NPI 1205879954).
Provider details
- NPI number
- 1205879954
- Entity type
- Individual
- Primary specialty
- Pediatric Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD427787 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2009-05-28
Frequently asked questions
- What is Basil Fathalla's NPI number?
- Basil Fathalla's National Provider Identifier (NPI) is 1205879954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Basil Fathalla's specialty?
- Basil Fathalla is listed in the NPPES registry with a primary specialty of Pediatric Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Basil Fathalla located?
- Basil Fathalla's practice location on file with NPPES is 3901 Beaubien St, Detroit, MI 48201-2119.
- What is Basil Fathalla's phone number?
- The practice phone number listed in the NPPES registry for Basil Fathalla is (215) 427-5094.
- Does Basil Fathalla accept Medicare?
- Basil Fathalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Basil Fathalla's NPI active?
- Yes — Basil Fathalla's NPI (1205879954) is active in the NPPES registry as of the last update on 2009-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.