Individual provider Active NPI

Fuad Elhusain Elnegres, M.D.

  • Family Medicine Physician
  • Sylvania, OH
National Provider Identifier
1972502995
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301081259 Issued in MI
Practice address
5700 Monroe St
Sylvania, OH 43560-2767
Phone
(567) 585-0090
Fax
(567) 585-0093
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301081259 MI Primary

Addresses

Primary practice location

5700 Monroe St
Sylvania, OH 43560-2767

Mailing address

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0090

Other identifiers 8

IdentifierTypeStateIssuer
000000358917OtherMIANTHEM
7736618OtherMIAETNA
P00168588OtherMIRRMC
4669613MedicaidMI
2487732MedicaidOH
04524OtherMIPARAMOUNT
24-55053OtherMIUHC
080E810120OtherMIBCBS MI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address felhusainelnegres13785@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040621001125 OH Practitioner - Family Practice 1052396488 Reassigns benefits to 1 organization
I20040702000682 MI Practitioner - Family Practice 1052396488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Urgent Care P L C CurrentSince Nov 3, 2019 Accepting new patients
Lakeside Urgent Care, P. C. Current Accepting new patients
Promedica Central Physicians Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Nov 3, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Oct 1, 2007 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Emergency Medicine Group Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

5700 Monroe St
Unit 308
Sylvania, OH 43560
Phone (419) 291-7555

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5700 Monroe St
Unit 204
Sylvania, OH 43560
Phone (567) 585-0090

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: felhusainelnegres13785@direct.promedica.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1972502995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602767",
            "telephone_number": "567-585-0090",
            "fax_number": "567-585-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602767",
            "telephone_number": "567-585-0090",
            "fax_number": "567-585-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHUSAIN ELNEGRES",
        "first_name": "FUAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000358917",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7736618",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00168588",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4669613",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2487732",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "04524",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "24-55053",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "080E810120",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "felhusainelnegres13785@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.