Angela Fenell Grady, D.P.M

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36.003596 Issued in OH

Practice address

20800 Westgate Mall
Suite 401
Fairview Park, OH 44126-1323

Phone

(440) 333-7722

Fax

(440) 356-0310

NPI assigned

May 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Metrohealth System Hospital, Cleveland, OH, CCN 360059

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment Care Compare group NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD
• Grady Podiatry LLC

  • Podiatrist
  • Avon, OH
  • NPI 1508277963
  NPD (past)
• Grady Podiatry LLC

  • Podiatrist
  • Fairview Park, OH
  • NPI 1821362583
  NPD (past)
• The Metrohealth System

  • Health Educator
  • Cleveland, OH
  • NPI 1609434323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Metrohealth System

  • Air Ambulance
  • Cleveland, OH
  • NPI 1609043645

  Hospital

  Care Compare affiliation
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  Care Compare affiliation

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1992930135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL",
            "address_2": "SUITE 401",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-333-7722",
            "fax_number": "440-356-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL",
            "address_2": "SUITE 401",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-333-7722",
            "fax_number": "440-356-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "ANGELA",
        "middle_name": "FENELL",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dahn Sheri Gibson
• Atana Gilbert, LSW
• Chelsea Anne Girgash
• Samantha Gower, HIS
• Grady Podiatry LLC
• Kylee Nicole Grady, OTR
• Tamouh Hamoud, MD
• Lee C Hang-Fu, M.D.
• Dima Hanouneh
• Health Risk Reduction LLC

• Podiatrist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.

Verify at the official NPI Registry.