ISLAM BADR EZZELDIN MOHAMED MD, MSC
NPI 1477248615
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Islam Mohamed's NPI number?

The NPI number for Islam Mohamed is 1477248615. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Islam Mohamed's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Islam Mohamed was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 05, 2023PECOS Enrolled

18101 LORAIN AVE, CLEVELAND, OH 44111(216) 476-7000 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Islam Badr Ezzeldin Mohamed Md, Msc NPPES

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

ISLAM BADR EZZELDIN MOHAMED MD, MSC (NPI 1477248615) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477248615

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameISLAM BADR EZZELDIN MOHAMEDCredential: MD, MSC

Location Address18101 LORAIN AVECleveland, OH 44111-5612

Mailing Address18101 Lorain AveCleveland, OH 44111-5612 · (216) 476-7000

Phone(216) 476-7000

Sole ProprietorYes

Enumeration DateApril 5, 2023

NPPES CertifiedMarch 27, 2023

✔ NPI 1477248615 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.

18101 LORAIN AVE, Cleveland, OH 44111

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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)

Islam Badr Ezzeldin Mohamed Md, Msc 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.

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.

JOSEPH EL DAHDAH MD

Student in an Organized Health Care Education/Training Program