NPIMap

Individual provider Active NPI

Faisal Radwi, M.D

  • Nephrology Physician
National Provider Identifier
1366850711
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-51073 Issued in IA
Practice address
8403 Ibn Henin
As Safa District
Jeddah, WESTERN 23456 4130
SA
Phone
(681) 214-3099
NPI assigned
Jul 29, 2014
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-51073 IA Primary
Nephrology Physician 207RN0300X 0116031187 VA

Addresses

Primary practice location

8403 Ibn Henin
As Safa District
Jeddah, WESTERN 23456 4130
SA

Mailing address

20 York St
New Haven, CT 06510-3220

Other practice location 1

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251010002572 PA Practitioner - NephrologyPractitioner - Internal Medicine 0446553093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Nephrology PCGroup PAC ID 2062409337, 6 clinicians

Practice addresses (Care Compare)

311 W 24TH St
Suite 402
Erie, PA 16502-2667
Phone (814) 453-6687

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116031187VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology PC Nephrology CurrentSince Aug 12, 2025 Accepting new patients
North Iowa Mercy Clinics CurrentSince Jun 5, 2023 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Jun 5, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

621 S Illinois Ave
Ste 103
Mason City, IA 50401

910 N Eisenhower Ave
Ste 101
Mason City, IA 50401

311 W 24th St
Ste 402
Erie, PA 16502
Phone (814) 453-6687

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJBAA

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1366850711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220"
        },
        {
            "country_code": "SA",
            "country_name": "Saudi Arabia",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "8403 IBN HENIN",
            "address_2": "AS SAFA DISTRICT",
            "city": "JEDDAH",
            "state": "WESTERN",
            "postal_code": "23456 4130",
            "telephone_number": "681-214-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADWI",
        "first_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "MD-51073",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0116031187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.