NPIMap

Individual provider Active NPI

Emad H Elbadawy, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1104892801
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-081411 Issued in OH
Practice address
1730 W 25TH St Ste 1200
Cleveland, OH 44113-3108
Phone
(216) 363-2207
Fax
(216) 363-2237
NPI assigned
Feb 23, 2006
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35081411E OH
Internal Medicine Physician 207R00000X 35-081411 OH Primary

Addresses

Primary practice location

1730 W 25TH St Ste 1200
Cleveland, OH 44113-3108

Mailing address

1730 W 25TH St Ste 1200
Cleveland, OH 44113-3108
Phone (216) 363-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000150 OH Practitioner - Internal Medicine 0042299141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Primary CareGroup PAC ID 2860769478, 7 clinicians

Practice addresses (Care Compare)

1730 W 25TH St
Suite 1200
Cleveland, OH 44113-3108
Phone (216) 363-2207

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-081411OHMDInternal Medicine Physician
35081411EOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
West Side Deutscher Frauen Verein Past Accepting new patients
Lakewood Senior Campus, LLC Past Accepting new patients
Lutheran Hospital Past Accepting new patients
Fairview Hospital Past Accepting new patients
Franklin Boulevard Nursing Home, Inc. Past Accepting new patients
Hopkins Opco LLC Past Accepting new patients
Olmsted Health Care Center, Inc. Past Accepting new patients
Avon Nursing LLC Past Accepting new patients
Middleburg Heights Nursing Home LLC Past Accepting new patients
Progressive North Ridgeville LLC Past Accepting new patients
Aj Aristocrat Berea Opco LLC Past Accepting new patients
Lagrange Nursing & Rehabilitation Center, Inc. Past Accepting new patients
Normandy II Limited Partnership Past Accepting new patients
Eliza Jennings Inc Past Accepting new patients
Center Ridge Nursing Home, Inc. Past Accepting new patients
Broadview Nursing Home Inc Past Accepting new patients
Life Care Centers of America, Inc. Past Accepting new patients
Amherst Manor, Inc. Past Accepting new patients
Avon Healthcare Center, Inc. Past Accepting new patients
Southern Hills Health and Rehabilitation Center LLC Past Accepting new patients
Rae-Ann Suburban, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eelbadawy35968@ehrdirect.uhhospitals.org
  • Direct secure messaging: eelbadawy93505@direct.ccf.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The RenaissanceOlmsted Falls, OH, CCN 365759 Skilled nursing facility Adp of the SNF Aug 1, 2018
The Woods on French Creek Nursing & Rehabilitation CenterAvon, OH, CCN 366426 Skilled nursing facility Adp of the SNF Jun 1, 2018
Aristocrat Berea Healthcare and RehabilitationBerea, OH, CCN 365608 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Avon Place Healthcare CenterAvon, OH, CCN 365155 Skilled nursing facility Adp of the SNF May 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1104892801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST STE 1200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-363-2207",
            "fax_number": "216-363-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST STE 1200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-363-2207",
            "fax_number": "216-363-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBADAWY",
        "first_name": "EMAD",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35081411E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-081411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.