Organization Active NPI

D.P.M.G., P.C.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1386314714
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
D.P.M.G., P.C.
Practice address
2220 Superior Via Unit 11
Cleveland, OH 44113-2382
Phone
(202) 557-5361
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Rafid Fadul, MD
Title
President
Phone
(202) 557-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2220 Superior Via Unit 11
Cleveland, OH 44113-2382

Mailing address

3109 Grand Ave # 215
Miami, FL 33133-5103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1386314714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 GRAND AVE # 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SUPERIOR VIA UNIT 11",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132382",
            "telephone_number": "202-557-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.P.M.G., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "FADUL",
        "authorized_official_first_name": "RAFID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-557-5361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.