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DR. FATHALLAH HAYEK MD
NPI 1689634727
Family Medicine in Madison, OH

Active since March 24, 2006PECOS Enrolled
6270 N RIDGE RD, MADISON, OH 44057(440) 428-6800(440) 255-3637 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2021, Jun 27, 2017 (2 updates tracked since 2017).

About Dr. Fathallah Hayek Md NPPES

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

DR. FATHALLAH HAYEK MD (NPI 1689634727) is an individual family medicine provider in Madison, Ohio, licensed in Ohio (35-053400) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689634727
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FATHALLAH HAYEKCredential: MD
Location Address6270 N RIDGE RDMadison, OH 44057-2567
Mailing Address36000 Euclid Ave # MsoWilloughby, OH 44094-4625 · (440) 953-6082 · Fax (440) 953-6101
Phone(440) 428-6800
Fax(440) 255-3637
Sole ProprietorYes
Enumeration DateMarch 24, 2006
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1689634727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-053400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35-053400 (OH)
6270 N RIDGE RD, Madison, OH 44057
Open in Google Maps ↗

Other Identifiers 8

Other000000339404OH · Anthem
Medicaid0623043OH
Other6600162OH · United Healthcare
Other264200002OH · Dept Of Labor
Other264200002OH · Federal Black Lung
OtherH059041OH · Medicare
Other341425870040OH · Medical Mutual Of Ohio
Other80507OH · Qualchoice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Dr. Fathallah Hayek 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Fathallah Hayek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Hospital System, Inc
Same address
Urgent Care
6270 N RIDGE RD
Madison, OH 44057
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
NPI 1134189376 (440) 428-8256
University Primary Care Practices Inc
1.6 mi
Internal Medicine
701 N LAKE ST STE 102
Madison, OH 44057
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1578689980 (440) 428-1106
University Hospitals Medical Group Inc
35 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

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44057 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE HOSPITAL SYSTEM, INC
Clinic/Center (Urgent Care)
6270 N RIDGE RD
MADISON, OH 44057
Lake County (440) 428-8256
TONI GIANFAGNA
Physical Therapy Assistant
6270 N RIDGE RD
MADISON, OH 44057
Lake County (440) 428-8242
MS. CYNTHIA LYNNE ROGERS P.T.
Physical Therapist
6270 N RIDGE RD
MADISON, OH 44057
Lake County (440) 428-8242
KAILEY RACHEL SANTORA PHARMD, BCACP, CDCES
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6270 N RIDGE RD
MADISON, OH 44057
Lake County (440) 428-0290
LAKE HOSPITAL SYSTEM INC
Pediatrics
6270 N RIDGE RD
MADISON, OH 44057
Lake County (440) 428-6225

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 Fathallah Hayek's NPI number?

The NPI number for Fathallah Hayek is 1689634727. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Fathallah Hayek located?

Fathallah Hayek practices at 6270 N Ridge Rd, Madison, OH 44057. The listed phone number is (440) 428-6800.

What is Fathallah Hayek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fathallah Hayek enrolled in Medicare?

Yes. Fathallah Hayek is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fathallah Hayek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fathallah Hayek reassigns Medicare benefits to 3 organizations: Lake Hospital System, Inc (Madison, OH), University Primary Care Practices Inc (Madison, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Fathallah Hayek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fathallah Hayek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Fathallah Hayek 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 Fathallah Hayek was last updated on May 6, 2021. 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.