Omar Zuhair Abdulfattah, MD
NPI 1205259330ActiveIndividual· Internal Medicine, Pulmonary Disease· Springfield, IL
Internal Medicine, Pulmonary Disease (MD) with Siu Physicians and Surgeons Inc and 1 other group, practicing in Springfield, Illinois. Their prescriptions cost Medicare Part D more than their services did: $804,226 for 2,478 claims, against $96,876 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 3 companies reporting payments in 2025, $278.95 in all, mostly food and beverage. Lists Carlinville Area Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1205259330 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jan 24, 2014 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 036.153801 | IL |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 036.153801 | IL |
| Internal Medicine | 207R00000X | 036.153801 | IL |
| Internal Medicine, Sleep Medicine | 207RS0012X | 036.153801 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 533 |
|---|---|
| Services billed | 1,444 across 42 procedure codes |
| Paid by Medicare | $96,876 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,478 · 3,502 30-day fills |
|---|---|
| Patients | 341 |
| Total drug cost | $804,226 |
| Generic share | 50% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Pulmonary Disease |
Medical groups
- Siu Physicians and Surgeons IncSpringfield, IL · 314 clinicians
- Board of Trustees of Southern Illinois UniversityQuincy, IL · 137 clinicians
Hospital affiliations
- Carlinville Area HospitalCarlinville, IL
- Decatur Memorial HospitalDecatur, IL
- Memorial Medical CenterSpringfield, IL
- Pana Community HospitalPana, IL
- St Johns HospitalSpringfield, IL
Industry payments (Open Payments)
- 2025$278.95 · 9 payments from 3 companies
- 2024$178.15 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $169.21 | 4 |
| Genzyme Corporation | $62.74 | 3 |
| Insmed, Inc. | $47.00 | 2 |
What the 2025 payments were for
- Food and Beverage$278.95 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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