Individual provider Active NPI

Emad Wasef, FNP-C

  • Family Nurse Practitioner
  • North Royalton, OH
National Provider Identifier
1013879105
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11250651 Issued in OH
Practice address
12872 Kingston Way
North Royalton, OH 44133-5900
Phone
(440) 278-1287
NPI assigned
Nov 26, 2025
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11250651 OH Primary

Addresses

Primary practice location

12872 Kingston Way
North Royalton, OH 44133-5900

Mailing address

12872 Kingston Way
North Royalton, OH 44133-5900
Phone (440) 278-1287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226003674 OH Practitioner - Nurse Practitioner 6709367741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Effect HealthGroup PAC ID 4688914518, 3 clinicians

Practice addresses (Care Compare)

3611 Prospect Ave E
Cleveland, OH 44115-2703
Phone (216) 331-6750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11250651OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Clinical Services LLC Multi-Specialty Current Accepting new patients
Lake Effect Health Multi-Specialty CurrentSince Jan 18, 2026 Accepting new patients
Metro Urgent Care, LLC Family PastSince Nov 30, 2025 Accepting new patients

Locations

3611 Prospect Ave E
Cleveland, OH 44115
Phone (216) 205-4862

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1013879105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12872 KINGSTON WAY",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335900",
            "telephone_number": "440-278-1287",
            "fax_number": "216-331-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12872 KINGSTON WAY",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335900",
            "telephone_number": "440-278-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEF",
        "first_name": "EMAD",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-26",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F11250651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.