Individual provider Active NPI

Mohamed Emadeldin Mohamed Fayed, MD

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1508418849
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301510382 Issued in MI
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-4321
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.151447 OH
Anesthesiology Physician 207L00000X 4301510382 MI Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-8445

Other practice location 2

3000 Arlington Ave
Toledo, OH 43614-2598
Phone (419) 383-3556

Other practice location 3

863 Saint Clair St
Grosse Pointe, MI 48230-1246
Phone (313) 932-0323

Other identifiers 2

IdentifierTypeStateIssuer
4301510382OtherMIMICHIGAN LICENSE
0073168MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, 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
I20240423000436 NY Practitioner - Anesthesiology 3072952142 Reassigns benefits to 2 organizations
I20240424000181 MI Practitioner - Anesthesiology 3072952142 Reassigns benefits to 5 organizations
I20240910004719 OH Practitioner - Anesthesiology 3072952142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians
Northstar Anesthesia of Michigan PLLCGroup PAC ID 9638481591, 192 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

3990 John R St
Detroit, MI 48201-2018
Phone (313) 993-0822

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510382MIMDAnesthesiology Physician
35.151447OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland Anesthesiology CurrentSince Sep 30, 2024 Accepting new patients
University of Toledo Physicians LLC Anesthesiology CurrentSince Sep 3, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Feb 14, 2024 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Aug 22, 2025 Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Mar 4, 2024 Accepting new patients
Mymichigan Medical Center Alpena Anesthesiology CurrentSince Aug 22, 2025 Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince Mar 4, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Sep 15, 2024 Accepting new patients
Mymichigan Medical Center Sault Anesthesiology CurrentSince Aug 22, 2025 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Feb 14, 2024 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Aug 22, 2025 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4100 John R St
#A
Detroit, MI 48201

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

111 E 210th St
Bronx, NY 10467

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

L4189
Columbus, OH 43260

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3000 Arlington Ave
#1108
Toledo, OH 43614
Phone (419) 383-5330

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mfayed573379@direct.hfhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1508418849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-8445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142598",
            "country_code": "US",
            "telephone_number": "419-383-3556",
            "fax_number": "419-383-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "863 Saint Clair St",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301246",
            "country_code": "US",
            "telephone_number": "313-932-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYED",
        "first_name": "MOHAMED",
        "middle_name": "EMADELDIN MOHAMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.151447",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301510382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE",
            "identifier": "4301510382",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.