Individual provider Active NPI

Nelly Bougebrayel, MD

  • Internal Medicine Physician
  • Parma, OH
National Provider Identifier
1962105890
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.156165 Issued in OH
Practice address
1057 Rockside Rd Ste 2
Parma, OH 44134-2700
Phone
(440) 743-8118
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.156165 OH Primary

Addresses

Primary practice location

1057 Rockside Rd Ste 2
Parma, OH 44134-2700

Mailing address

1057 Rockside Rd Ste 2
Parma, OH 44134-2700
Phone (440) 743-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nbougebrayel222715@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1962105890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 ROCKSIDE RD STE 2",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342700",
            "telephone_number": "440-743-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 ROCKSIDE RD STE 2",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342700",
            "telephone_number": "440-743-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUGEBRAYEL",
        "first_name": "NELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.156165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.