Wafa MW Al-Dhahir, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Elyria, OH
NPI 1205896016 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1205896016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 35073641A (OH)
- Practice address
- 630 E River St
Elyria, OH 44035-5902 - Phone
- (800) 475-6236
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospitals Medical Group Inc
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
- Uh St John Medical Center
- Uh Cleveland Medical Center
- University Hospitals Ahuja Medical Center
- Lake Health
- Parma Community General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040829000006 | OH | Practitioner - Pathology | 0941275713 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35073641A | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Regional Pathology Associates, Inc. | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| DRS. Hill and Chapnick, Inc. | Past |
Accepting new patients |
Locations
2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
Interoperability endpoints
- waldhahir218296@ehrdirect.uhhospitals.org
- dr.wafa.al-dhahir@lakehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35073641A | OH | Yes |
Addresses
Primary practice location
630 E River St
Elyria, OH 44035-5902
Mailing address
30701 Lorain Rd Ste a
North Olmsted, OH 44070-6325
Phone (440) 274-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136094 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dr.Wafa.Al-Dhahir@lakehealth.org | Direct |
Other providers in Elyria, OH
- Rhonda Jean Adams
- Kyrsten Adley
- Arlene G Agra
- Ismail Suleman Ahmed
- Byong Jik Ahn
- Britney M Algood
- Sharah Algood
- William Algood
- Allcare Dental & Dentures of Ohio - Bates
- Lydia Pearl Allen
All providers in Elyria, OH · Anatomic Pathology & Clinical Pathology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.