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LAWAND A SAADULLA M.D.
NPI 1801009451
Internal Medicine - Nephrology in Hilliard, OH

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
4626 NADINE PARK DR, HILLIARD, OH 43026(614) 483-9728 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2022, Nov 25, 2020 (2 updates tracked since 2020).

About Lawand A Saadulla M.d. NPPES

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

LAWAND A SAADULLA M.D. (NPI 1801009451) is an individual nephrology provider in Hilliard, Ohio, licensed in Ohio (35097094) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1801009451
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameLAWAND A SAADULLACredential: M.D.
Location Address4626 NADINE PARK DRHilliard, OH 43026-6079
Mailing Address36 Troy RdDelaware, OH 43015-4503 · (614) 483-9728 · Fax (740) 994-9218
Phone(614) 483-9728
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 8, 2007
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1801009451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in OH · 35097094✔ Licensed in PA · MD438312
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD438312 (PA)
4626 NADINE PARK DR, Hilliard, OH 43026
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Other Identifiers 2

Medicaid3149284OH
Medicaid102461977PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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 and accepts Medicare assignment

Lawand A Saadulla M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749313096
PECOS Enrollment IDI20110624000416
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

4

Medicare enrollment records show Lawand Saadulla reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
7.9 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500
Hospitalist Medicine Physicians Of Ohio, Professional Corporation
19 mi
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
NPI 1043572290 (614) 234-7535
Kidney And Hypertension Center Of Delaware LLC
19 mi
Nephrology
36 TROY RD
Delaware, OH 43015
  • Reassigned Medicare billing, Ohio enrollment
NPI 1497196026 (740) 368-3670
North Central Ohio Family Care Center, Inc
51 mi
Specialist
269 PORTLAND WAY S
Galion, OH 44833
  • Reassigned Medicare billing, Ohio enrollment
  • 252 clinicians in this Medicare group
NPI 1689822827 (419) 468-4841

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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
197 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
107 services47 patients
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.
44 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Reported Quality Measures

Controlling High Blood Pressure
76%41 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
42%258 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%70 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%32 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 84% · 80 patients
80%80 patients
Provide Patients Electronic Access to Their Health Information
76%29 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 50 patients
Patients totalRate: 15% · 55 patients
15%55 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Lawand Saadulla's NPI number?

The NPI number for Lawand Saadulla is 1801009451. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Lawand Saadulla located?

Lawand Saadulla practices at 4626 Nadine Park Dr, Hilliard, OH 43026. The listed phone number is (614) 483-9728.

What is Lawand Saadulla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Lawand Saadulla enrolled in Medicare?

Yes. Lawand Saadulla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lawand Saadulla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawand Saadulla reassigns Medicare benefits to 4 organizations: Ohiohealth Corporation (Columbus, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Kidney And Hypertension Center Of Delaware LLC (Delaware, OH) and North Central Ohio Family Care Center, Inc (Galion, 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 Lawand Saadulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawand Saadulla accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and Oscar Health Insurance list Lawand Saadulla 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.

Is Lawand Saadulla affiliated with any hospitals?

According to CMS data, Lawand Saadulla is affiliated with Riverside Methodist Hospital, Holzer Medical Center, Memorial Hospital, Grady Memorial Hospital and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Lawand Saadulla was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.