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FUAD ELHUSAIN ELNEGRES M.D.
NPI 1972502995
Family Medicine in Sylvania, OH

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
5700 MONROE ST, SYLVANIA, OH 43560(567) 585-0090(567) 585-0093 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, Dec 27, 2016 (2 updates tracked since 2016).

About Fuad Elhusain Elnegres M.d. NPPES

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

FUAD ELHUSAIN ELNEGRES M.D. (NPI 1972502995) is an individual family medicine provider in Sylvania, Ohio, licensed in Michigan (4301081259) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1972502995
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFUAD ELHUSAIN ELNEGRESCredential: M.D.
Location Address5700 MONROE STSylvania, OH 43560-2767
Mailing Address5700 Monroe StSylvania, OH 43560-2767 · (567) 585-0090 · Fax (567) 585-0093
Phone(567) 585-0090
Fax(567) 585-0093
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
✔ NPI 1972502995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301081259
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.
5700 MONROE ST, Sylvania, OH 43560
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Other Identifiers 8

Other000000358917MI · Anthem
Other7736618MI · Aetna
OtherP00168588MI · Rrmc
Medicaid4669613MI
Medicaid2487732OH
Other04524MI · Paramount
Other24-55053MI · Uhc
Other080E810120MI · Bcbs Mi

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

Fuad Elhusain Elnegres 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 ID1052396488
PECOS Enrollment IDI20040621001125
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 Fuad Elhusain Elnegres reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Promedica Central Physicians
8.6 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Lakeside Urgent Care, P.C.
73 mi
Internal Medicine
44472 HAYES RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Lakeside Urgent Care PC
  • 81 clinicians in this Medicare group
NPI 1811226442 (586) 412-0890
Oxford Urgent Care P L C
80 mi
Specialist
72 S WASHINGTON ST, SUITE 102
Oxford, MI 48371
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Oxford Urgent Care Plc
  • 81 clinicians in this Medicare group
NPI 1700036936 (248) 236-8333

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 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 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.
210 services106 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.
178 services108 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
105 services105 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
37 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
36 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims34 services$5.45 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$11.42 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$5.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$51.00 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers20 claims20 services$196.07 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 14

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

AMY CRAMER CNP
Nurse Practitioner
5700 MONROE ST, SUITIE 111
SYLVANIA, OH 43560
Lucas County (567) 585-0005
ROBERT T. DEROSA MD
Obstetrics & Gynecology
5700 MONROE ST, SUITE 202
SYLVANIA, OH 43560
Lucas County (419) 473-6622
DR. CUNEYD A TOLEK M.D.
Family Medicine
5700 MONROE ST, #204
SYLVANIA, OH 43560
Lucas County (567) 585-0090
DANIELLE M PIETRASZAK CNP
Nurse Practitioner
5700 MONROE ST, SUITE 209
SYLVANIA, OH 43560
Lucas County (419) 291-6720
J.R. MEDICAL CENTER, CORP.
General Practice
5700 MONROE ST, SUITE: #120-379
SYLVANIA, OH 43560
Lucas County (419) 490-5771
DR. PRESTON G. LINLEY O.D.
Optometrist
5700 MONROE ST, SUITE 211 PROMEDICA HEALTH AND WELLNESS CENTER
SYLVANIA, OH 43560
Lucas County (866) 935-5393
AMBER RYCHENER NP-C
Nurse Practitioner (Adult Health)
5700 MONROE ST, SUITE 303
SYLVANIA, OH 43560
Lucas County (419) 473-6622
DERIK S VINCENT CNP
Nurse Practitioner
5700 MONROE ST, SUITE 209
SYLVANIA, OH 43560
Lucas County (419) 291-6720

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 Fuad Elhusain Elnegres's NPI number?

The NPI number for Fuad Elhusain Elnegres is 1972502995. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Fuad Elhusain Elnegres located?

Fuad Elhusain Elnegres practices at 5700 Monroe St, Sylvania, OH 43560. The listed phone number is (567) 585-0090.

What is Fuad Elhusain Elnegres's specialty?

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

Is Fuad Elhusain Elnegres enrolled in Medicare?

Yes. Fuad Elhusain Elnegres 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 Fuad Elhusain Elnegres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fuad Elhusain Elnegres reassigns Medicare benefits to 3 organizations: Promedica Central Physicians (Toledo, OH), Lakeside Urgent Care, P.C. (Clinton Township, MI) and Oxford Urgent Care P L C (Oxford, MI). 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 Fuad Elhusain Elnegres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fuad Elhusain Elnegres accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Fuad Elhusain Elnegres 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 Fuad Elhusain Elnegres affiliated with any hospitals?

According to CMS data, Fuad Elhusain Elnegres is affiliated with Promedica Monroe Regional Hospital, Promedica Toledo Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Fuad Elhusain Elnegres was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.