Active NPI
Omar El-Ghazzawy, DO
- Surgery Physician
- Warrensville Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 58.030267
- Practice address
- 20000 Harvard Ave
Warrensville Heights, OH 44122-6805 - Phone
- (216) 491-6000
- NPI assigned
- Apr 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 58.030267 | OH | Primary |
Addresses
Primary practice location
20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Mailing address
20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Country Hospital and Health Center Inc
Practice addresses (Care Compare)
189 Prouty Dr
Newport, VT 05855-9326
Phone (802) 487-2589
41 Medical Village Dr
Newport, VT 05855-9835
Phone (802) 334-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.030267 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Surgery | Current | Accepting new patients |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Current | Accepting new patients |
Locations
186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262
41 Medical Village Dr
Newport, VT 05855
Phone (802) 334-3500
189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569
Interoperability endpoints
- oelghazzawy1215451@direct.ccf.org
- https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Newport, VT
- NPI 1144251059
-
- Surgery Physician
- Newport, VT
- NPI 1679551238
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Rural Health Clinic/Center
- Barton, VT
- NPI 1104868892
-
- Obstetrics & Gynecology Physician
- Newport, VT
- NPI 1295868008
-
- Internal Medicine Physician
- Newport, VT
- NPI 1417023904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Newport, VT
- NPI 1144251059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1851898779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20000 HARVARD AVE",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441226805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20000 HARVARD AVE",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441226805",
"telephone_number": "216-491-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-GHAZZAWY",
"first_name": "OMAR",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-07",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "58.030267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.