Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Hisham Fozi Qutob, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1578723177

Dr. Hisham Fozi Qutob, MD is a Pulmonary Disease in Cumming, Georgia. Graduated from University of Utah School of Medicine in 2008, 18 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
18
Trained at
University of Utah School of Medicine
Licensed in
GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1505 Northside Blvd Ste 3500
Cumming, GA 30041-8223
Phone: (770) 292-3120
Fax: (770) 292-3121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 86852 (GA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 86852 (GA)

Record details

NPI number1578723177
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2008
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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