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DR. TOUFIK Z. MADHUN M.D.
NPI 1003279886
Internal Medicine in Cleveland, OH

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
11100 EUCLID AVE DEPT OF, CLEVELAND, OH 44106(216) 844-1000 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, May 7, 2025, Oct 4, 2024 and 2 more (5 updates tracked since 2016).

About Dr. Toufik Z. Madhun M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOUFIK Z. MADHUN M.D. (NPI 1003279886) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.134446) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003279886
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TOUFIK Z. MADHUNCredential: M.D.
Location Address11100 EUCLID AVE DEPT OFCleveland, OH 44106-1716
Mailing Address11100 Euclid AveCleveland, OH 44106-1716 · (216) 844-3201
Phone(216) 844-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateAugust 19, 20265 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1003279886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.134446
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35.134446 (OH)
11100 EUCLID AVE DEPT OF, Cleveland, OH 44106
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Toufik Z. Madhun M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264725050
PECOS Enrollment IDI20181029002745
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Toufik Madhun reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc
0.1 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Health Express Urgent Care Centers,llc
11 mi
Urgent Care
1400 W PLEASANT VALLEY RD
Parma, OH 44134
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1770993453 (440) 334-7173
Community Intensivists, LLC
15 mi
Pulmonary Disease
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
NPI 1992131742 (440) 816-8000
North East Ohio Group Practice LLC
15 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000
Wrh Physicians, Inc.
25 mi
Urgent Care
3913 DARROW RD, SUITE 100
Stow, OH 44224
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
NPI 1295067940 (330) 688-7900
Community Hospitalist, LLC
33 mi
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
NPI 1538236872 (440) 960-4000
Aultman Deuble Heart & Vascular Hospital, LLC
50 mi
Cardiovascular Disease
2600 SIXTH ST SW
Canton, OH 44710
  • Reassigned Medicare billing, Ohio enrollment
  • 162 clinicians in this Medicare group
NPI 1306495718 (330) 454-8076

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
234 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
120 services95 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
51 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAUDIA BARBARA LEWIS PA
Physician Assistant (Medical)
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (440) 591-2246
CHRISTINA RAE NGUYEN M.D.
Pediatrics (Pediatric Nephrology)
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1389
ANTHONY RIZZO MD
Obstetrics & Gynecology (Gynecologic Oncology)
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3722
LAUREN PETRO
Physician Assistant
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3722
GHASSAN E KANAZI MD
Anesthesiology
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (216) 286-7389
DR. OLATOYE OLUTOLA M.D.
Surgery (Trauma Surgery)
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (216) 423-6228
KEVIN JAMES MALONE MD
Orthopaedic Surgery (Hand Surgery)
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (216) 844-9080
DR. CONNOR M MCNAMARA M.D.
Anesthesiology
11100 EUCLID AVE DEPT OF
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toufik Madhun's NPI number?

The NPI number for Toufik Madhun is 1003279886. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Toufik Madhun located?

Toufik Madhun practices at 11100 Euclid Ave Dept Of, Cleveland, OH 44106. The listed phone number is (216) 844-1000.

What is Toufik Madhun's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Toufik Madhun enrolled in Medicare?

Yes. Toufik Madhun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Toufik Madhun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toufik Madhun reassigns Medicare benefits to 7 organizations: University Hospitals Medical Group Inc (Cleveland, OH), Health Express Urgent Care Centers,llc (Parma, OH), Community Intensivists, LLC (Middleburg Heights, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH), Wrh Physicians, Inc. (Stow, OH) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toufik Madhun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toufik Madhun accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Toufik Madhun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Toufik Madhun affiliated with any hospitals?

According to CMS data, Toufik Madhun is affiliated with Parma Community General Hospital, Lake Health, Uh Cleveland Medical Center, Southwest General Health Center and University Hospitals Ahuja Medical Center.

When was this NPI record last updated?

The NPPES record for Toufik Madhun was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.