Kelly L Fababe, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35088169 Issued in OH

Practice address

9500 Euclid Ave
Cleveland, OH 44195-0001

Phone

(216) 986-1314

Fax

(216) 986-1191

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Family Practice

Education

Pennsylvania State University College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfababemd51417@direct.ccf.org

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.

• Osh-Oh Physicians Group PC

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1346747946

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Fairview Hospital

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
  • NPI 1407953706
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Fairview Hospital

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1215989611
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669493672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W CREEK RD",
            "address_2": "SUITE 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312139",
            "telephone_number": "216-986-1313",
            "fax_number": "216-986-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-986-1314",
            "fax_number": "216-986-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABABE",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35088169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2682431",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chidiebere Pius Ezetendu, M.D
• Oge Ezimakor, M.D.
• Dennis Stanley Ezinski, RN
• Jodi Elise Ezratty, MD
• Omar Ezzedin, MD
• Stephanie Patricia Fabara Pino, M.D.
• Francesca Noelle Fabe, PA-C
• Matthew J Fabec, PA
• Kristen Faber
• Morgan Elena Faber, CPHT

• Family Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.