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DR. ASHRAF FAWZY MD, MPH
NPI 1083957013
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since March 27, 2013PECOS Enrolled
74.39/100
CMS Quality Rating
1830 E MONUMENT ST, 5TH FLOOR, BALTIMORE, MD 21287(410) 550-2304(410) 367-2014 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ashraf Fawzy Md, Mph NPPES

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

DR. ASHRAF FAWZY MD, MPH (NPI 1083957013) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D82387) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083957013
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ASHRAF FAWZYCredential: MD, MPH
Location Address1830 E MONUMENT ST, 5TH FLOORBaltimore, MD 21287-0020
Mailing Address5501 Hopkins Bayview CirBaltimore, MD 21224-6821
Phone(410) 550-2304
Fax(410) 367-2014
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1083957013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MD · D82387
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1830 E MONUMENT ST, Baltimore, MD 21287
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashraf Fawzy Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759513815
PECOS Enrollment IDI20200813001972
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.

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.
53 services22 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.
37 services23 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.
24 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services16 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.
19 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$4.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$67.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ROBERT HEGARTY C.R.N.P.
Nurse Practitioner
1830 E MONUMENT ST, 4TH FLOOR
BALTIMORE, MD 21287
Baltimore City (410) 955-1725
MICHAEL RICHARD EHMANN M.D.
Emergency Medicine
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
MR. RUBEN TRONCOSO JR. MD, MPH
Emergency Medicine (Emergency Medical Services)
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-3380
EDWARD ALAN WEINSTEIN MD, PHD
Internal Medicine
1830 E MONUMENT ST, ROOM 457
BALTIMORE, MD 21287
Baltimore City (410) 502-2326
MS. EISHA CHOPRA M.D.
Emergency Medicine
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
VANESSA VANEPPS REDD MD
Emergency Medicine
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
MRS. IRYNE ZZIWA-KABENGE CRNP
Nurse Practitioner (Adult Health)
1830 E MONUMENT ST, SUITE 418
BALTIMORE, MD 21287
Baltimore City (410) 614-1069
STEPHANIE MICHELLE FLOYD DO
Internal Medicine (Nephrology)
1830 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (508) 237-4103

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 Ashraf Fawzy's NPI number?

The NPI number for Ashraf Fawzy is 1083957013. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Ashraf Fawzy located?

Ashraf Fawzy practices at 1830 E Monument St 5th Floor, Baltimore, MD 21287. The listed phone number is (410) 550-2304.

What is Ashraf Fawzy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ashraf Fawzy enrolled in Medicare?

Yes. Ashraf Fawzy is registered in the Medicare PECOS enrollment system.

Is Ashraf Fawzy affiliated with any hospitals?

According to CMS data, Ashraf Fawzy is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Ashraf Fawzy was last updated on July 1, 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.