Amr Albadrawy Ali Aboelnasr, MD
Individual provider Active NPI Hospitalist Physician · Montgomery, OH
NPI 1417534876 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1417534876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 35.149308 (OH)
- Practice address
- 10500 Montgomery Rd
Montgomery, OH 45242-4402 - Phone
- (513) 865-2246
- Fax
- (513) 865-5552
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1950 W Polk St
Chicago, IL 60612-3723
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20260128001678 | IL | Practitioner - Internal Medicine | 7618385618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.149308 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current |
Accepting new patients | |
| Cook County | Hospitalist | Current |
Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 35.149308 | OH | Yes |
Addresses
Primary practice location
10500 Montgomery Rd
Montgomery, OH 45242-4402
Mailing address
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
Other practice location 1
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-1800
Other providers in Montgomery, OH
- Charles J Aardema
- Cynthia Kay Aardema
- Leah Kay Abate
- Mohammad Khalouck Abdrabbo
- Christine Marie Abner
- Alizabeth Besondy Quillen Adams
- Adwoa Saka Addo Asiamah
- Robyn Levenson Aguirre
- Aman Ahmed
- Syed Nasim Ahmed
All providers in Montgomery, OH · Hospitalist 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 Dec 13, 2023. 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.