NPIMap

Individual provider Active NPI

Ahmed Fawzy, M.D

  • Nephrology Physician
  • Elyria, OH
National Provider Identifier
1285664607
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35-07-6595F Issued in OH
Practice address
1170 E Broad St
Suite 102
Elyria, OH 44035-6351
Phone
(440) 323-3574
Fax
(440) 323-3552
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35-07-6595F OH Primary

Addresses

Primary practice location

1170 E Broad St
Suite 102
Elyria, OH 44035-6351

Mailing address

20455 Lorain Rd
T01
Fairview Park, OH 44126-3494
Phone (440) 799-4224

Other identifiers 1

IdentifierTypeStateIssuer
2227772MedicaidOH

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
I20120103000341 OH Practitioner - NephrologyPractitioner - Internal Medicine 8224948435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Nephrology IncGroup PAC ID 6002704913, 6 clinicians

Practice addresses (Care Compare)

1170 E Broad St
Suite 102
Elyria, OH 44035-6351
Phone (440) 323-3574

Hospital & facility affiliations

  • FMC - Heritage Dialysis Dialysis facility, Elyria, OH, CCN 362679
  • FMC - Elyria Renal Care Group Dialysis facility, Elyria, OH, CCN 362589
  • FMC - Ohio Renal Care Group Westlake Dialysis facility, Westlake, OH, CCN 362609
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123

Merit-based Incentive Payment System (MIPS)

Final score
95.88 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
72.71

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: afawzy37175@ehrdirect.uhhospitals.org

Organizations & group practices 1

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

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1285664607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "T01",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-799-4224",
            "fax_number": "440-799-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BROAD ST",
            "address_2": "SUITE 102",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-323-3574",
            "fax_number": "440-323-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWZY",
        "first_name": "AHMED",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35-07-6595F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2227772",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.