Dr Hisham Fozi Qutob, MD in Cumming, GA - Medicare Pulmonary Disease

Dr Hisham Fozi Qutob, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Cumming, Georgia. He went to University Of Utah School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Northside Primary Care Professional Services,llc, Northeast Georgia Physicians Group Inc and his current practice location is 1505 Northside Blvd Ste 3500, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 292-3120.

Dr Hisham Fozi Qutob is licensed to practice in Georgia (license number 86852) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578723177.

Contact Information

	Dr Hisham Fozi Qutob, MD
	1505 Northside Blvd Ste 3500, Cumming, GA 30041-8223
	(770) 292-3120
	(770) 292-3121

Map and Direction

Physician's Profile

Full Name	Dr Hisham Fozi Qutob
Gender	Male
Speciality	Pulmonary Disease
Experience	18 Years
Location	1505 Northside Blvd Ste 3500, Cumming, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Hisham Fozi Qutob attended and graduated from University Of Utah School Of Medicine in 2008

NPI Data:

NPI Number: 1578723177
Provider Enumeration Date: 06/17/2008
Last Update Date: 04/04/2026

Medicare PECOS Information:

PECOS PAC ID: 4880813625
Enrollment ID: I20201125002485

Medical Identifiers

Medical identifiers for Dr Hisham Fozi Qutob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578723177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	86852 (Georgia)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	86852 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital
Northside Hospital Forsyth	Cumming, GA	Hospital
Habersham County Medical Ctr	Demorest, GA	Hospital
Union General Hospital	Blairsville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Primary Care Professional Services,llc	9638343924	319
Northeast Georgia Physicians Group Inc	6901898386	899

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Hisham Fozi Qutob allows following entities to bill medicare on his behalf.

Entity Name	Northeast Georgia Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hisham Fozi Qutob is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Hisham Fozi Qutob, MD 1505 Northside Blvd Ste 3500, Cumming, GA 30041-8223 Ph: (770) 292-3120	Dr Hisham Fozi Qutob, MD 1505 Northside Blvd Ste 3500, Cumming, GA 30041-8223 Ph: (770) 292-3120

Reviews and Comments

Internal Medicine Doctors in Cumming, GA

Raghunath R Katragadda, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325
Otto Goyco, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 900 Sanders Rd, Suite B, Cumming, GA 30041 Phone: 770-781-8840 Fax: 770-781-8098
Ludy Lukose, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 407 East Maple Street, Suite 101, Cumming, GA 30040 Phone: 770-888-6697 Fax: 770-888-6698
Dr. Arinze Hector Duru, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200
Dr. Jeffrey Desalvo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325
Dr. Fernando R. Alvarez-bognar, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 770-887-1668 Fax: 770-781-9937
Dr. Tyler Inchul An, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4150 Deputy Bill Cantrell Memorial Rd, Suite 290, Cumming, GA 30040 Phone: 404-446-0600 Fax: 404-446-0601

Dr Hisham Fozi Qutob, MD - Medicare Pulmonary Disease in Cumming, GA