Ebtisam Faddoul, PA-C
- MIPS score, 2024
- 100
- Hospital affiliations
- 1
- Medical groups
- 3
- State license
- 1
- Year NPI issued
- 2011
- Practice address
- 1 Hospital Plz, Stamford, CT 06902
- Practice phone
- Call (203) 276-1000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Stamford Hospital
Stamford, Connecticut
Find Ebtisam Faddoul's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ebtisam Faddoul is a physician assistant in Stamford, Connecticut
Ebtisam Faddoul practices at Stamford Hospital in Stamford, Connecticut.
Ebtisam Faddoul's NPI, 1114294055, was assigned on November 21, 2011. Ebtisam Faddoul graduated from Mercy College in 2011. Ebtisam Faddoul holds New York license 015255-1.
- NPI
- 1114294055NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3678850583
- NPI enumeration date
- November 21, 2011
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (203) 276-1000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 41
- Medical school graduation
- 2011
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Ebtisam Faddoul practices at Stamford Hospital in Stamford, Connecticut
Ebtisam Faddoul's primary practice is Stamford Hospital, at 1 Hospital Plz, Stamford, CT 06902 in Western Ct County. The practice phone is (203) 276-1000.
- Stamford Hospital1 Hospital Plz, Stamford, CT 06902 · Western Ct CountyPhone(203) 276-1000
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Ebtisam Faddoul is affiliated with 3 sites of care and 3 medical groups
Ebtisam Faddoul's primary practice is Stamford Hospital in Stamford, Connecticut. Ebtisam Faddoul is also affiliated with Montefiore Einstein Hospital-Moses Campus. The medical group on file is Stamford Health Medical Group. Dmand AI also links Ebtisam Faddoul to 2 more medical groups and 1 group practice or clinic, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Ebtisam Faddoul's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ebtisam Faddoul practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Stamford Hospital | Available with a free account |
| +2 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Ebtisam Faddoul is one of 1,682 physician assistants in Connecticut
Physician assistant is Ebtisam Faddoul's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Ebtisam Faddoul is board certified in certified physician assistant by the National Commission on Certification of Physician Assistants (NCCPA). Ebtisam Faddoul is licensed in New York.
Specialties and state licenses
- Physician assistant, New YorkPrimary
Physician assistants near Ebtisam Faddoul
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ebtisam Faddoul's patients have a median age of 78
Across all payers, Dmand AI patient panel data puts Ebtisam Faddoul's median patient age at 78, with 43% women.
Ebtisam Faddoul's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 78
Patient panel by sex, all payers
- Women43%
- Men57%
Source: Dmand AI Patient Panel Data
Ebtisam Faddoul scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Ebtisam Faddoul for performance year 2024, reported as part of a group. Ebtisam Faddoul accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Ebtisam Faddoul's MIPS scores, performance year 2024
- 100of 100Final score
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
Ebtisam Faddoul graduated from Mercy College
Ebtisam Faddoul graduated from Mercy College in 2011. Ebtisam Faddoul is a member of AAPA.
- Medical school
- Board certified in certified physician assistant
Source: Dmand AI Professional Profile Data
Sources for Ebtisam Faddoul's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ebtisam Faddoul
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What is Ebtisam Faddoul's NPI number?
Ebtisam Faddoul's NPI number is 1114294055. It was assigned on November 21, 2011, and it is active in the NPI Registry.
What does Ebtisam Faddoul specialize in?
Ebtisam Faddoul is a physician assistant in Stamford, Connecticut. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Ebtisam Faddoul practice?
Ebtisam Faddoul practices at 1 Hospital Plz, Stamford, CT 06902. Ebtisam Faddoul's primary practice is Stamford Hospital in Stamford, Connecticut. Dmand AI also links Ebtisam Faddoul to 2 medical groups and 1 group practice or clinic.
What is Ebtisam Faddoul's office phone number?
The practice phone on file for Ebtisam Faddoul is (203) 276-1000.
What is Ebtisam Faddoul's medical license number?
Ebtisam Faddoul holds New York license 015255-1.
Which hospitals is Ebtisam Faddoul affiliated with?
Ebtisam Faddoul is affiliated with Montefiore Einstein Hospital-Moses Campus.
What medical group is Ebtisam Faddoul part of?
Ebtisam Faddoul is linked to Stamford Health Medical Group. Dmand AI links Ebtisam Faddoul to 2 more medical groups.
Does Ebtisam Faddoul accept Medicare?
Yes. CMS lists Ebtisam Faddoul as accepting Medicare assignment.
What is Ebtisam Faddoul's MIPS score?
Ebtisam Faddoul's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.
Is Ebtisam Faddoul board certified?
Yes. Ebtisam Faddoul is board certified in certified physician assistant by the National Commission on Certification of Physician Assistants (NCCPA).
Where did Ebtisam Faddoul go to medical school?
Ebtisam Faddoul graduated from Mercy College in 2011.
How long has Ebtisam Faddoul been practicing?
Ebtisam Faddoul graduated from medical school in 2011, 15 years ago.
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