NABIL ZUHAYR MADHUN DO
NPI 1144682469
Internal Medicine - Endocrinology, Diabetes & Metabolism in Parma Heights, OH

Q: What is Nabil Madhun's NPI number?

The NPI number for Nabil Madhun is 1144682469. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Nabil Madhun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Nabil Madhun was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2016PECOS Enrolled

6785 W 130TH ST STE 101, PARMA HEIGHTS, OH 44130(440) 843-8888(440) 843-8887 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2024, Apr 22, 2022, Nov 26, 2019 and 1 more (4 updates tracked since 2016).

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About Nabil Zuhayr Madhun Do NPPES

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

NABIL ZUHAYR MADHUN DO (NPI 1144682469) is an individual endocrinology, diabetes & metabolism provider in Parma Heights, Ohio, licensed in Ohio (34.012981) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144682469

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameNABIL ZUHAYR MADHUNCredential: DO

Location Address6785 W 130TH ST STE 101Parma Heights, OH 44130-7817

Mailing Address6785 W 130th St Ste 101Parma Heights, OH 44130-7817 · (440) 843-8888

Phone(440) 843-8888

Fax(440) 843-8887

Sole ProprietorYes

Enumeration DateMarch 25, 2016

Last NPPES UpdateOctober 4, 20244 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1144682469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in OH · 34.012981

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

6785 W 130TH ST STE 101, Parma Heights, OH 44130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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 (PECOS)

Nabil Zuhayr Madhun Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Zuhayr T. Madhun M.D., Inc.

Same address

Endocrinology, Diabetes & Metabolism

6785 W 130TH ST, STE. 101
Parma Heights, OH 44130

Reassigned Medicare billing, Ohio enrollment
3 clinicians in this Medicare group

NPI 1740204387 (440) 843-8888

Community Intensivists, LLC

2.6 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

Hni Medical Services Of Ohio, LLC

2.6 mi

Internal Medicine

18697 BAGLEY RD
Middleburg Heights, OH 44130

Reassigned Medicare billing, Ohio enrollment
144 clinicians in this Medicare group

NPI 1356815922 (440) 542-5000

North East Ohio Group Practice LLC

2.6 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

University Hospitals Medical Group Inc

13 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

Community Hospitalist, LLC

24 mi

Hospitalist

3700 KOLBE RD
Lorain, OH 44053

Reassigned Medicare billing, Ohio enrollment
325 clinicians in this Medicare group

NPI 1538236872 (440) 960-4000

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

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.

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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

29 suppliers60 claims222 services$6.17 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers12 claims30 services$1.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers93 claims93 services$181.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nabil Madhun's NPI number?

The NPI number for Nabil Madhun is 1144682469. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Nabil Madhun located?

Nabil Madhun practices at 6785 W 130th St Ste 101, Parma Heights, OH 44130. The listed phone number is (440) 843-8888.

What is Nabil Madhun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nabil Madhun enrolled in Medicare?

Yes. Nabil Madhun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nabil Madhun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nabil Madhun reassigns Medicare benefits to 6 organizations: Zuhayr T. Madhun M.D., Inc. (Parma Heights, OH), Community Intensivists, LLC (Middleburg Heights, OH), Hni Medical Services Of Ohio, LLC (Middleburg Heights, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH), University Hospitals Medical Group Inc (Cleveland, OH) 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 Nabil Madhun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nabil Madhun accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Paramount list Nabil 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.

When was this NPI record last updated?

The NPPES record for Nabil Madhun was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.