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DR. MARWA ALI MAHGOUB ELNAZEIR M.D
NPI 1114372141
Psychiatry & Neurology - Neurology in Louisville, KY

Active since April 27, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
401 E CHESTNUT ST STE 500, LOUISVILLE, KY 40202(502) 588-4800(502) 588-4801 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2020, Oct 19, 2020, Sep 16, 2020 (3 updates tracked since 2020).

About Dr. Marwa Ali Mahgoub Elnazeir M.d NPPES

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

DR. MARWA ALI MAHGOUB ELNAZEIR M.D (NPI 1114372141) is an individual neurology provider in Louisville, Kentucky, licensed in Kentucky (54238) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114372141
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARWA ALI MAHGOUB ELNAZEIRCredential: M.D
Location Address401 E CHESTNUT ST STE 500Louisville, KY 40202-5700
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328 · Fax (502) 587-4784
Phone(502) 588-4800
Fax(502) 588-4801
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 27, 2016
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1114372141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in KY · 54238
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
401 E CHESTNUT ST STE 500, Louisville, KY 40202
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Other Identifiers 2

Medicaid300043486IN
Medicaid7100590840KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marwa Ali Mahgoub Elnazeir 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 ID244521599
PECOS Enrollment IDI20240809000109
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 2

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.
93 services50 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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 Marwa Elnazeir's NPI number?

The NPI number for Marwa Elnazeir is 1114372141. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Marwa Elnazeir located?

Marwa Elnazeir practices at 401 E Chestnut St Ste 500, Louisville, KY 40202. The listed phone number is (502) 588-4800.

What is Marwa Elnazeir's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marwa Elnazeir enrolled in Medicare?

Yes. Marwa Elnazeir 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.

What insurance does Marwa Elnazeir accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Marwa Elnazeir 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 Marwa Elnazeir affiliated with any hospitals?

According to CMS data, Marwa Elnazeir is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Marwa Elnazeir was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.