DR. ISLAM ADEL BADAWY DO
NPI 1922425453
Internal Medicine - Interventional Cardiology in Crown Point, IN

Active since March 21, 2014PECOS EnrolledAccepts Medicare Assignment
97.08/100
CMS Quality Rating
12750 ST FRANCIS DR STE 320, CROWN POINT, IN 46307(219) 662-0077(219) 662-9496 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Jan 4, 2024, Nov 9, 2023 and 6 more (9 updates tracked since 2017).

About Dr. Islam Adel Badawy Do NPPES

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

DR. ISLAM ADEL BADAWY DO (NPI 1922425453) is an individual interventional cardiology provider in Crown Point, Indiana, licensed in Indiana (02005065A) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Dyer, and maintains a secondary practice location in Hobart.

NPPES Registry Identity

NPI1922425453
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. ISLAM ADEL BADAWYCredential: DO
Location Address12750 ST FRANCIS DR STE 320Crown Point, IN 46307-0264
Mailing Address1400 S Lake Park Ave Ste 400Hobart, IN 46342-6791 · (219) 942-6166 · Fax (219) 942-4106
Fax(219) 662-9496
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 21, 2014
Last NPPES UpdateApril 3, 20259 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1922425453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IN · 02005065A
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 02005065A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License 02005065A (IN)
12750 ST FRANCIS DR STE 320, Crown Point, IN 46307

Other Names 1

Former Name (1)Islam Adel Baghdady

Secondary Practice Location 1

Location 11400 S Lake Park Ave Ste 400Hobart, IN 46342-6791 · Phone (219) 942-6166 · Fax (219) 942-4106

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. Islam Adel Badawy Do 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 ID7012202260
PECOS Enrollment IDI20170822001137
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 24

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.

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.
399 services207 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
227 services223 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.
196 services130 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.
168 services124 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.
139 services134 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
103 services90 patients

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151324
Location1104 E Grace StRensselaer, IN 47978 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.1
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
13%32 patients
Breast Cancer Screening
64%128 patients3/55-star benchmark: 93%
Cervical Cancer Screening
33%69 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%64 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
53%333 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
67%350 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
75%24 patients3/55-star benchmark: 99%
Diabetes: Eye Exam
0%104 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
46%104 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,254 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
58%403 patients3/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%36 patients
HIV Screening
17%223 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%586 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%451 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%369 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 367 patients
Patients screened: 97% · 367 patients
29%41 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%439 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 12% · 410 patients
Patients totalRate: 16% · 410 patients
12%410 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier11 claims11 services$2,261.41 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.

Internal Medicine (Interventional Cardiology)
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307
Physician Assistant
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307
Physician Assistant
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307
Internal Medicine (Cardiovascular Disease)
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307
Clinical Nurse Specialist (Adult Health)
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307
Physician Assistant
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46307

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 Islam Badawy's NPI number?

The NPI number for Islam Badawy is 1922425453. It was assigned to this individual provider in the NPPES registry on March 21, 2014. The provider is also known as Islam Adel Baghdady.

Where is Islam Badawy located?

Islam Badawy practices at 12750 St Francis Dr Ste 320, Crown Point, IN 46307. The listed phone number is (219) 662-0077.

What is Islam Badawy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Islam Badawy enrolled in Medicare?

Yes. Islam Badawy 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 Islam Badawy accept?

Health plans from CareSource and Molina Healthcare list Islam Badawy 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 Islam Badawy affiliated with any hospitals?

According to CMS data, Islam Badawy is affiliated with Franciscan Health Dyer, Community Hospital, Franciscan Health Crown Point, Franciscan Health Munster and Franciscan Health Rensselaer, Inc.

When was this NPI record last updated?

The NPPES record for Islam Badawy was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.