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DR. ELIYAZAR GADDAM MD
NPI 1073561858
Internal Medicine - Cardiovascular Disease in Lima, OH

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
951 COMMERCE PKWY, SUITE 100, LIMA, OH 45804(419) 224-5915(419) 224-5918 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eliyazar Gaddam Md NPPES

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

DR. ELIYAZAR GADDAM MD (NPI 1073561858) is an individual cardiovascular disease provider in Lima, Ohio, licensed in Ohio (35.127156) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Loretto Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073561858
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ELIYAZAR GADDAMCredential: MD
Location Address951 COMMERCE PKWY, SUITE 100Lima, OH 45804-4040
Mailing Address951 Commerce Pkwy, Suite 101Lima, OH 45804-4040 · (419) 998-4575 · Fax (419) 998-4586
Phone(419) 224-5915
Fax(419) 224-5918
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1073561858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in OH · 35.127156✔ Licensed in IL · 036083544
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
951 COMMERCE PKWY, Lima, OH 45804
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12350 N Rockton AveRockford, IL 61103-3600 · Phone (815) 971-2200 · Fax (815) 971-9097
Location 28201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-2200 · Fax (815) 971-9097

Other Identifiers 2

Medicaid1073561858WI
Medicaid036083544IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Eliyazar Gaddam Md 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 ID749274140
PECOS Enrollment IDI20040409000013
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

6

Medicare enrollment records show Eliyazar Gaddam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Friedell Clinic, S. C.
197 mi
Family Medicine
1625 E 75TH ST
Chicago, IL 60649
  • Reassigned Medicare billing, Illinois enrollment
  • 49 clinicians in this Medicare group
NPI 1306854021 (773) 947-2828
Metro Physicians & Specialists
200 mi
Cardiovascular Disease
326 W 64TH ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
NPI 1699723403 (773) 962-3900
Foundation For Outreach Services
200 mi
Family Medicine
326 W 64TH ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1316350242 (773) 962-4100
Cal Devon Urgent Care Inc
214 mi
Diagnostic Radiology
6208 OAKTON ST
Morton Grove, IL 60053
  • Reassigned Medicare billing, Illinois enrollment
  • 25 clinicians in this Medicare group
NPI 1104940618 (773) 262-5400
Touhy Diagnostic At Home, LLC
219 mi
Diagnostic Radiology
490 LEE ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1518042548 (847) 803-1111
Rockford Health Physicians
277 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

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 8

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.

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.
505 services371 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.
177 services61 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
120 services117 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Loretto Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number140083
Location645 South Central AveChicago, IL 60644 · Cook County
Emergency services

St Bernard Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140103
Location326 W 64th StChicago, IL 60621 · Cook County
Emergency services

Jackson Park Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140177
Location7531 S Stony Island AveChicago, IL 60649 · Cook County
Emergency services

Humboldt Park Health

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140206
Location1044 N Francisco AveChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%20 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%275 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%23 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HEART INSTITUTE OF NORTHWEST OHIO
Internal Medicine (Cardiovascular Disease)
951 COMMERCE PKWY, SUITE 100
LIMA, OH 45804
Allen County (419) 224-5915
OHIO CARDIOTHORACIC & VASUCLAR SURGEONS INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
951 COMMERCE PKWY, SUITE 201
LIMA, OH 45804
Allen County (419) 227-7702
KWABENA MAWULAWDE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
951 COMMERCE PKWY, STE 201
LIMA, OH 45804
Allen County (505) 841-1000
DR. A PIERRE BAMDAD MD
Internal Medicine (Cardiovascular Disease)
951 COMMERCE PKWY, SUITE 100
LIMA, OH 45804
Allen County (419) 224-5915
BRADD BREHM PA-C
Physician Assistant (Surgical)
951 COMMERCE PKWY, SUITE 201
LIMA, OH 45804
Allen County (419) 227-7702
FARZIN FOTOUHI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
951 COMMERCE PKWY, SUITE 201
LIMA, OH 45804
Allen County (419) 227-7702
NATALIE LAMMERS
Physician Assistant
951 COMMERCE PKWY, SUITE 100
LIMA, OH 45804
Allen County (419) 224-5915
GLENN A BERTLING CRNFA
Registered Nurse (Registered Nurse First Assistant)
951 COMMERCE PKWY, SUITE 201
LIMA, OH 45804
Allen County (419) 227-7702

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 Eliyazar Gaddam's NPI number?

The NPI number for Eliyazar Gaddam is 1073561858. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Eliyazar Gaddam located?

Eliyazar Gaddam practices at 951 Commerce Pkwy Suite 100, Lima, OH 45804. The listed phone number is (419) 224-5915.

What is Eliyazar Gaddam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Eliyazar Gaddam enrolled in Medicare?

Yes. Eliyazar Gaddam 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 Eliyazar Gaddam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eliyazar Gaddam reassigns Medicare benefits to 6 organizations: Friedell Clinic, S. C. (Chicago, IL), Metro Physicians & Specialists (Chicago, IL), Foundation For Outreach Services (Chicago, IL), Cal Devon Urgent Care Inc (Morton Grove, IL), Touhy Diagnostic At Home, LLC (Des Plaines, IL) and 1 more organization, 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 Eliyazar Gaddam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eliyazar Gaddam accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Eliyazar Gaddam 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 Eliyazar Gaddam affiliated with any hospitals?

According to CMS data, Eliyazar Gaddam is affiliated with Loretto Hospital, St Bernard Hospital, Jackson Park Hospital and Humboldt Park Health.

When was this NPI record last updated?

The NPPES record for Eliyazar Gaddam was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.