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MAISA ELFATIH ELBADAWI MD
NPI 1316567951
Student in an Organized Health Care Education/Training Program in Dracut, MA

Active since April 23, 2020PECOS Enrolled
12 CLOUGH DR, DRACUT, MA 01826(978) 821-2233 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maisa Elfatih Elbadawi Md NPPES

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

MAISA ELFATIH ELBADAWI MD (NPI 1316567951) is an individual student in an organized health care education/training program in Dracut, Massachusetts and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316567951
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAISA ELFATIH ELBADAWICredential: MD
Location Address12 CLOUGH DRDracut, MA 01826-6503
Mailing Address833 Chestnut St Ste 700Philadelphia, PA 19107-4410 · (215) 503-3000 · Fax (215) 503-4099
Phone(978) 821-2233
Sole ProprietorNo
Enumeration DateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1316567951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12 CLOUGH DR, Dracut, MA 01826
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maisa Elfatih Elbadawi Md 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.

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 Maisa Elbadawi's NPI number?

The NPI number for Maisa Elbadawi is 1316567951. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Maisa Elbadawi located?

Maisa Elbadawi practices at 12 Clough Dr, Dracut, MA 01826. The listed phone number is (978) 821-2233.

What is Maisa Elbadawi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maisa Elbadawi enrolled in Medicare?

Yes. Maisa Elbadawi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maisa Elbadawi was last updated on April 23, 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.