Active NPI
Mohamed Emadeldin Mohamed Fayed, MD
- Anesthesiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301510382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301510382 | Other | MI | MICHIGAN LICENSE |
| 0073168 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- University of Toledo Medical Center
- Mymichigan Medical Center Clare
- Mymichigan Medical Center Alma
- Mymichigan Medical Center Gladwin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301510382 | MI | MD | Anesthesiology Physician |
| 35.151447 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Anesthesiology | Current | Accepting new patients |
| University of Toledo Physicians LLC | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan PLLC | Anesthesiology | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Mymichigan Medical Center Sault | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Anesthesiology | Current | Accepting new patients |
| Mymichigan Medical Center Alpena | Current | 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
- 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.
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Anesthesiology
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Alpena, MI
- NPI 1467529404
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sault Sainte Marie, MI
- NPI 1639190382
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
-
- Anesthesiology Physician
- Sault Sainte Marie, MI
- NPI 1457305674
-
- Anatomic Pathology & Clinical Pathology Physician
- Sault Sainte Marie, MI
- NPI 1518819739
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.