DR. ZUHAYR T MADHUN M.D.
NPI 1891719415
Specialist in Parma Heights, OH

Q: What is Zuhayr Madhun's NPI number?

The NPI number for Zuhayr Madhun is 1891719415. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Zuhayr Madhun's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Zuhayr Madhun was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 27, 2006PECOS EnrolledAccepts Medicare Assignment

76.64/100

CMS Quality Rating

6785 W 130TH ST, STE. 101, PARMA HEIGHTS, OH 44130(440) 843-8888(440) 843-8887 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Zuhayr T Madhun M.d. NPPES

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

DR. ZUHAYR T MADHUN M.D. (NPI 1891719415) is an individual specialist in Parma Heights, Ohio, licensed in Ohio (35060483) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1891719415

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. ZUHAYR T MADHUNCredential: M.D.

Location Address6785 W 130TH ST, STE. 101Parma Heights, OH 44130-7817

Mailing AddressPo Box 470574Broadview Hts, OH 44147-0574 · (440) 843-8888 · Fax (440) 843-8887

Phone(440) 843-8888

Fax(440) 843-8887

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJuly 27, 2006

Last NPPES UpdateNovember 16, 2016

✔ NPI 1891719415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OH · 35060483

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6785 W 130TH ST, Parma Heights, OH 44130

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF33476OH

Medicare PIN9363682OH

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 and accepts Medicare assignment

Dr. Zuhayr T Madhun 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 ID1557368750

PECOS Enrollment IDI20061101000191

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 Reassignment

Medicare enrollment records show Zuhayr Madhun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Zuhayr T. Madhun M.D., Inc.

Same address

Endocrinology, Diabetes & Metabolism

6785 W 130TH ST, STE. 101
Parma Heights, OH 44130

Reassigned Medicare billing, Ohio enrollment
3 clinicians in this Medicare group

NPI 1740204387 (440) 843-8888

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 11

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 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.

1,682 services817 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.

1,552 services263 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

372 services146 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.

206 services184 patients

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.

145 services119 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.

119 services108 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

113 services110 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.

101 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

96 services96 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.

37 services37 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360041

Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360123

Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga 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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360155

Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County

Emergency services Birthing friendly

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.

76.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

51.65

Promoting Interoperability

Improvement Activities

Cost

73.77

Reported Quality Measures

Documentation of Current Medications in the Medical Record

99%2,783 patients4/55-star benchmark: 100%

e-Prescribing

99%4,442 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

19%1,692 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

82%1,647 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%1,229 patients2/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

88%1,908 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

5 suppliers40 claims507 services$17.58 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

5 suppliers38 claims1,188 services$2.34 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

4 suppliers18 claims18 services$168.49 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

52 suppliers178 claims812 services$6.02 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers26 claims27 services$2.50 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

3 suppliers12 claims12 services$1.38 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 2

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

MRS. TRACI SHARKEY-WELLS CNP

Nurse Practitioner

6785 W 130TH ST, SUITE 101
PARMA HEIGHTS, OH 44130

Cuyahoga County (440) 843-8888

ZUHAYR T. MADHUN M.D., INC.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

6785 W 130TH ST, STE. 101
PARMA HEIGHTS, OH 44130

Cuyahoga County (440) 843-8888

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 Zuhayr Madhun's NPI number?

The NPI number for Zuhayr Madhun is 1891719415. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Zuhayr Madhun located?

Zuhayr Madhun practices at 6785 W 130th St Ste. 101, Parma Heights, OH 44130. The listed phone number is (440) 843-8888.

What is Zuhayr Madhun's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Zuhayr Madhun enrolled in Medicare?

Yes. Zuhayr Madhun 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 organization bills Medicare for Zuhayr Madhun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zuhayr Madhun reassigns Medicare benefits to Zuhayr T. Madhun M.D., Inc. (Parma Heights, OH). The 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 Zuhayr Madhun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zuhayr Madhun accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Zuhayr Madhun 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 Zuhayr Madhun affiliated with any hospitals?

According to CMS data, Zuhayr Madhun is affiliated with Parma Community General Hospital, Fairview Hospital, Uh St John Medical Center, Uh Cleveland Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Zuhayr Madhun was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.