DR. ELIE GIRYES ABU JAWDEH M.D
NPI 1235338849
Pediatrics - Neonatal-Perinatal Medicine in Lexington, KY
NPI Status: Active since July 13, 2007
Contact Information
UNIVERSITY OF KENTUCKY 800 ROSE ST
MN150
LEXINGTON, KY
ZIP 40536
Phone: (216) 334-9945
- Individual
- Male
- Years of Experience 20
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ELIE ABU JAWDEH
This page provides the complete NPI Profile along with additional information for Elie Abu Jawdeh, a pediatrician established in Lexington, Kentucky with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1235338849 assigned on July 2007. The practitioner's primary taxonomy code is 2080N0001X with license number 46100 (KY). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1235338849
- Provider Name
- DR. ELIE GIRYES ABU JAWDEH M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- UNIVERSITY OF KENTUCKY 800 ROSE ST MN150 LEXINGTON, KY 40536
- Location Phone
- (216) 334-9945
- Mailing Address
- UNIVERSITY OF KENTUCKY 800 ROSE ST MN150 LEXINGTON, KY 40536
- Mailing Phone
- (216) 334-9945
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-13-2007
- Last Update Date
- 06-24-2013
- Code Navigator
A pediatrician like Elie Abu Jawdeh is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 46100
- License State
- KY
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
- MyBlue Health Bronze? 402 - HMO
- MyBlue Health Bronze? Standard - HMO
- MyBlue Health Gold? 403 - HMO
- MyBlue Health Gold? Standard - HMO
- MyBlue Health Silver? 405 - HMO
- MyBlue Health Silver? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Elie Abu Jawdeh is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Elie Abu Jawdeh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8325273428
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250808001391
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235338849, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235338849, enumerated as an "individual" on July 13, 2007.
The provider is located at UNIVERSITY OF KENTUCKY 800 ROSE ST MN150 LEXINGTON, KY 40536 and the phone number is (216) 334-9945.
Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.
The provider might be accepting Accepts: Baylor Scott and White Health Plan and Blue Cross. Please consult your insurance carrier or call the provider to verify.
