Individual provider Active NPI

Fathallah Hayek, MD

  • Family Medicine Physician
  • Madison, OH
National Provider Identifier
1689634727
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-053400 Issued in OH
Practice address
6270 N Ridge Rd
Madison, OH 44057-2567
Phone
(440) 428-6800
Fax
(440) 255-3637
NPI assigned
Mar 24, 2006
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-053400 OH
Family Medicine Physician 207Q00000X 35-053400 OH Primary

Addresses

Primary practice location

6270 N Ridge Rd
Madison, OH 44057-2567

Mailing address

36000 Euclid Ave # Mso
Willoughby, OH 44094-4625
Phone (440) 953-6082

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.f.hayek@lakehealth.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040107000028 OH Practitioner - General SurgeryPractitioner - Emergency Medicine 8729987052 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-053400OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Jun 15, 2014 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Mar 19, 2025 Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Jun 15, 2014 Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Mar 19, 2025 Accepting new patients
Lake Hospital System Inc Family Medicine Current Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 19, 2025 Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
Lake Hospital System Past Accepting new patients
Erie Banks Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients
Lake Hospital System Inc. Family Medicine Past Accepting new patients

Locations

510 5th Ave
Chardon, OH 44024
Phone (440) 285-9494

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292

8655 Market St
Ste 140
Mentor, OH 44060
Phone (440) 255-6400

7956 Tyler Blvd
Mentor on Lk, OH 44060
Phone (440) 255-4455

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

30498 Lake Shore Blvd
Willowick, OH 44095
Phone (440) 585-3322

Interoperability endpoints

  • Direct secure messaging: dr.f.hayek@lakehealth.org
  • Direct secure messaging: fhayek37113@ehrdirect.uhhospitals.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1689634727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 EUCLID AVE # MSO",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944625",
            "telephone_number": "440-953-6082",
            "fax_number": "440-953-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572567",
            "telephone_number": "440-428-6800",
            "fax_number": "440-255-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYEK",
        "first_name": "FATHALLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-053400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-053400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.f.hayek@lakehealth.org",
            "affiliation": "N",
            "endpointDescription": "Lake Health Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MADISON",
            "address_1": "8655 Market St Ste 140",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440604112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, OH

Sources for this page

Verify at the official NPI Registry.