Active NPI
Fady Marmoush, MD
- Interventional Cardiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35.155150
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-7330
- NPI assigned
- Jul 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP02886 | RI | |
| Interventional Cardiology Physician | 207RI0011X | 59719 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 35.155150 | OH | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 59719 | AZ |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
8055 Mayfield Rd Ste 105
Chesterland, OH 44026-2447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200527000783 | AZ | Practitioner - Cardiovascular Disease (Cardiology) | 5698903623 | Reassigns benefits to 5 organizations |
| I20220706000909 | TX | Practitioner - Cardiovascular Disease (Cardiology) | 5698903623 | Reassigns benefits to 1 organization |
| I20260529003079 | OH | Practitioner - Cardiovascular Disease (Cardiology) | 5698903623 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Carlos Apache Healthcare CorporationPhoenix Neurological Institute, IncPhoenician Cardiac Care LLCAbdul Memon MD PLLC
Practice addresses (Care Compare)
103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400
1343 N Alma School Rd
Suite 125 135 295
Chandler, AZ 85224-5905
Phone (480) 776-2982
1343 N Alma School Rd
Suite 295
Chandler, AZ 85224-5948
Phone (480) 444-7464
2075 W Pecos Rd
Suite 1
Chandler, AZ 85224-5723
Phone (480) 776-2982
5882 S Hospital Dr
Suite 1
Globe, AZ 85501-9455
Phone (480) 256-1518
Hospital & facility affiliations
- San Carlos Apache Healthcare Corporation
- Cobre Valley Regional Medical Center
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
- Dignity Health Arizona General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.44 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 73.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.155150 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abdul Memon, MD, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Laser Surgery Holding Company, LTD | Current | Accepting new patients | |
| Phoenician Cardiac Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Laser Surgery Holding Company, LTD | Interventional Cardiology | Current | Accepting new patients |
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Phoenix Neurological Institute, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Akash Makkar PLLC | Past | Accepting new patients | |
| University Hospitals Medical Group Inc | Past | Accepting new patients |
Locations
2075 W Pecos Rd
Ste 2
Chandler, AZ 85224
Phone (480) 219-6840
1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224
1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588
2075 W Pecos Rd
Chandler, AZ 85224
Phone (480) 748-4238
1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447
1343 N Alma School Rd
Ste 295
Chandler, AZ 85224
Phone (480) 496-2869
1343 N Alma School Rd
Ste 295205
Chandler, AZ 85224
2075 W Pecos Rd
Ste 1
Chandler, AZ 85224
Phone (480) 656-5711
604 W Warner Rd
Ste E201
Chandler, AZ 85225
Phone (480) 963-7900
5882 S Hospital Dr
Ste 1
Globe, AZ 85501
Phone (928) 425-2474
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
5990 S Hospital Dr
Globe, AZ 85501
Phone (520) 402-9319
5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
2228 W Northern Ave
Ste B210
Phoenix, AZ 85021
Phone (480) 444-7447
2226 W Northern Ave
Ste C212
Phoenix, AZ 85021
Phone (480) 444-7491
2224 W Northern Ave
Ste D270
Phoenix, AZ 85021
2228 W Northern Ave
Ste B202
Phoenix, AZ 85021
Phone (480) 346-9522
2224 W Northern Ave
Ste D209
Phoenix, AZ 85021
Dept LA 23811
Pasadena, CA 91185
Interoperability endpoints
- https://api.platform.athenahealth.com/18634/brand/1/csg/1/fhir/r4
Organizations & group practices 15
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.
-
- Cardiovascular Disease Physician
- Globe, AZ
- NPI 1760622344
AZ, Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1972113546
AZ, Cardiovascular Disease
-
- Neurology Physician
- Chandler, AZ
- NPI 1336319086
AZ, Cardiovascular Disease
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Interventional Cardiology Physician
- Phoenix, AZ
- NPI 1295592731
AZ, Interventional Cardiology
-
- Durable Medical Equipment & Medical Supplies
- Peridot, AZ
- NPI 1710475124
-
- Pharmacy
- Peridot, AZ
- NPI 1861875536
-
- Community/Retail Pharmacy
- Globe, AZ
- NPI 1639384233
-
- Rural Health Clinic/Center
- Globe, AZ
- NPI 1962896167
-
- Ambulatory Surgical Clinic/Center
- Chandler, AZ
- NPI 1285466037
Hospital & facility affiliations 16
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": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1508207689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 MAYFIELD RD STE 105",
"city": "CHESTERLAND",
"state": "OH",
"postal_code": "440262447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMOUSH",
"first_name": "FADY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02886",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "59719",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35.155150",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "59719",
"primary": false
}
],
"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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.