DR. NISSREEN ELFADAWY MD
NPI 1801226279
Internal Medicine - Nephrology in Chardon, OH

Active since November 20, 2013PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
13207 RAVENNA RD, CHARDON, OH 44024(440) 269-6000 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2020, Jun 11, 2019, Aug 19, 2016 (3 updates tracked since 2016).

About Dr. Nissreen Elfadawy Md NPPES

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

DR. NISSREEN ELFADAWY MD (NPI 1801226279) is an individual nephrology provider in Chardon, Ohio, licensed in Ohio (35.134034) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801226279
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NISSREEN ELFADAWYCredential: MD
Location Address13207 RAVENNA RDChardon, OH 44024-7032
Mailing Address8055 Mayfield Rd Ste 105Chesterland, OH 44026-2447
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 20, 2013
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
NPI 1801226279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 35.134034
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.
13207 RAVENNA RD, Chardon, OH 44024

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nissreen Elfadawy Md 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 ID8527354281
PECOS Enrollment IDI20190626003684
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.

Areas of Expertise CMS Part B claims 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
263 services173 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.
168 services69 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.
117 services103 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
94 services94 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
86 services86 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44024 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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims660 services$0.28 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$18.86 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers16 claims16 services$12.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
13207 RAVENNA RD
CHARDON, OH 44024
Pharmacist
13207 RAVENNA RD
CHARDON, OH 44024
Student in an Organized Health Care Education/Training Program
13207 RAVENNA RD
CHARDON, OH 44024
Family Medicine
13207 RAVENNA RD
CHARDON, OH 44024
Psychiatry & Neurology (Addiction Psychiatry)
13207 RAVENNA RD
CHARDON, OH 44024
Nurse Practitioner
13207 RAVENNA RD
CHARDON, OH 44024
Student in an Organized Health Care Education/Training Program
13207 RAVENNA RD
CHARDON, OH 44024
Student in an Organized Health Care Education/Training Program
13207 RAVENNA RD
CHARDON, OH 44024

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 Nissreen Elfadawy's NPI number?

The NPI number for Nissreen Elfadawy is 1801226279. It was assigned to this individual provider in the NPPES registry on November 20, 2013.

Where is Nissreen Elfadawy located?

Nissreen Elfadawy practices at 13207 Ravenna Rd, Chardon, OH 44024. The listed phone number is (440) 269-6000.

What is Nissreen Elfadawy's specialty?

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

Is Nissreen Elfadawy enrolled in Medicare?

Yes. Nissreen Elfadawy 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.

What insurance does Nissreen Elfadawy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Nissreen Elfadawy 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 Nissreen Elfadawy affiliated with any hospitals?

According to CMS data, Nissreen Elfadawy is affiliated with Uh Regional Hospitals, Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Nissreen Elfadawy was last updated on December 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.