Individual provider Active NPI

Fady El-Gabalawy, MD

  • Diagnostic Radiology Physician
  • Monrovia, CA
National Provider Identifier
1780068213
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A173123 Issued in CA
Practice address
323 S Heliotrope Ave
Monrovia, CA 91016-2914
Phone
(626) 408-9800
NPI assigned
Jul 14, 2015
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A173123 CA Primary

Addresses

Primary practice location

323 S Heliotrope Ave
Monrovia, CA 91016-2914

Mailing address

PO Box 743067
Los Angeles, CA 90074-3067
Phone (626) 408-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210727001587 CA Practitioner - Diagnostic Radiology 6305249459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Tower Imaging Medical Group IncGroup PAC ID 2668376708, 29 clinicians

Practice addresses (Care Compare)

12602 Amargosa Rd
Suite F
Victorville, CA 92392-7640
Phone (760) 261-5000

1328 22ND St
Santa Monica, CA 90404-2032
Phone (310) 829-8814

2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone (310) 264-9000

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

23929 McBean Pkwy
Suite 109
Valencia, CA 91355-4467
Phone (661) 253-8705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173123CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Providence Medical Foundation CurrentSince Feb 3, 2025 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince May 28, 2022 Accepting new patients
Little Company of Mary Ancillary Services Corporation CurrentSince Mar 6, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology PastSince Jun 27, 2021 Accepting new patients
United Medical Doctors Past Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
#1112
Indio, CA 92201

2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

12602 Amargosa Rd
Ste F
Victorville, CA 92392
Phone (760) 261-5000

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1780068213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743067",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743067",
            "telephone_number": "626-408-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S HELIOTROPE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162914",
            "telephone_number": "626-408-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-GABALAWY",
        "first_name": "FADY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A173123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.