Individual provider Active NPI

Fady Marmoush, MD

  • Interventional Cardiology Physician
  • Cleveland, OH
National Provider Identifier
1508207689
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.155150 Issued in OH
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

Updated by the provider on May 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 CorporationGroup PAC ID 0648580597, 147 clinicians
Phoenix Neurological Institute, IncGroup PAC ID 9931287711, 20 clinicians
Phoenician Cardiac Care LLCGroup PAC ID 0749690048, 9 clinicians
Abdul Memon MD PLLCGroup PAC ID 5294883211, 7 clinicians

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 Hospital, Peridot, AZ, CCN 031320
  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
73.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.155150OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abdul Memon, MD, PLLC Cardiovascular Disease CurrentSince Jul 1, 2020 Accepting new patients
Laser Surgery Holding Company, LTD CurrentSince Oct 16, 2025 Accepting new patients
Phoenician Cardiac Care LLC Cardiovascular Disease CurrentSince May 1, 2024 Accepting new patients
Laser Surgery Holding Company, LTD Interventional Cardiology CurrentSince Oct 16, 2025 Accepting new patients
Cobre Valley Regional Medical Center Current Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Apr 1, 2021 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Mar 30, 2022 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Mar 30, 2022 Accepting new patients
Phoenix Neurological Institute, Inc Cardiovascular Disease CurrentSince Jul 1, 2020 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

  • FHIR API: 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.

View all 15

Hospital & facility affiliations 16

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

View all 16

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

Verify at the official NPI Registry.