Ebtisam Faddoul, PA-C
Physician Assistant · Stamford, CT
Ebtisam Faddoul, PA-C is a physician assistant with a practice address in Stamford, Connecticut, and NPI 1114294055, issued on Nov 21, 2011. Check the license with the Connecticut board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ebtisam Faddoul
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 015255-1 NY
Self-reported in NPPES; status is on the state search - Practice location
- 29 Hospital Plz Ste 501, Stamford, CT 06902
- Phone
- (203) 276-4400
- Enumerated
- Nov 21, 2011
- Record last updated
- Jul 19, 2022
- Fax
- (203) 276-4401
- Medicare enrollment
- Enrolled (PECOS I20201109001545); accepts Medicare assignment
- Medical or professional school
- Mercy College, 2011
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,047 in Connecticut → Look up another NPI →
Also registered at 29 Hospital Plz Ste 501
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ebtisam Faddoul in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Connecticut board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Stamford Health Medical Group IncStamford, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ebtisam Faddoul among 2,047 physician assistant records in Connecticut
Ebtisam Faddoul, PA-C is one of 2,047 physician assistant records with a practice address in Connecticut. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 31% of them.
- NPI issued2011 · 31% of these records are older, 67% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2011 · median 2018 among the 1,338 with a school on file
- Record last updated2022 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
82 physician assistant records list a practice address in Stamford
They are 82 of the 2,774 NPPES records with a practice address in Stamford, and 2,047 physician assistant records in Connecticut.
All 2,047 in Connecticut → Every provider in Stamford → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Justina Antonio, PAStamford, CT 069021881733103
- Amanda Bradford, PA-CStamford, CT 069021467544122
- Richard Byrns, PA/CStamford, CT 069021821264656
- Debbie Clarke, PAStamford, CT 069021598007858
- Sarah Feigenbaum, PAStamford, CT 069021043590110
- David Fernandez, PAStamford, CT 069021558409417
- Anthony Giannuzzi, PA-CStamford, CT 069021649518978
- Beth Liebmann, P.A.Stamford, CT 069021689690687
Common questions
What is Ebtisam Faddoul, PA-C's NPI number?
Ebtisam Faddoul, PA-C's National Provider Identifier (NPI) is 1114294055, issued on Nov 21, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Ebtisam Faddoul, PA-C located?
The NPPES record lists a practice address at 29 Hospital Plz Ste 501, Stamford, CT, 06902. Phone: (203) 276-4400. Providers update this record themselves, so call before visiting.
How can I verify Ebtisam Faddoul, PA-C's license?
Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.
What is Ebtisam Faddoul, PA-C's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.