MISS JANINE ELADAWY (PA) – Physician Assistant, NPI 1124215595

MISS JANINE ELADAWY (PA) is a healthcare provider. based in Stratford, Connecticut. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 008456 (NY). The NPI Number for MISS JANINE ELADAWY (PA) is 1124215595

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MISS JANINE ELADAWY (PA)
NPI
1124215595
Phone
(646) 833-9494
Address
28 COOLIDGE ST
Enumeration Date
1 October 2007
Last Update Date
15 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032256020
Graduation Year
2001 (25 years ago)
PAC ID
8820421118
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20191126003064
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for MISS JANINE ELADAWY (PA)

  • 28, Coolidge Street, Stratford, Fairfield County, Connecticut, 06614, United States

    STRATFORD, CT 066144220

    Phone: (646) 833-9494

    Type: Mailing

  • 226, Mill Hill Avenue, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States

    BRIDGEPORT, CT 066102826

    Phone: (203) 384-3127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191126003064IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes145142$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected3332$0
99212Established patient office or other outpatient visit, 10-19 minutes3030$0
99214Established patient office or other outpatient visit, 30-39 minutes2525$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 06614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

How do payers reference MISS JANINE ELADAWY (PA)?
For MISS JANINE ELADAWY (PA), use NPI 1124215595 as the unique 10-digit identifier.
Active or inactive — what applies to MISS JANINE ELADAWY (PA)?
You should see MISS JANINE ELADAWY (PA) as active in CMS-hosted NPPES data.
What expertise is attributed to MISS JANINE ELADAWY (PA)?
MISS JANINE ELADAWY (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MISS JANINE ELADAWY (PA) located near Stratford?
MISS JANINE ELADAWY (PA) currently maps to Stratford, Connecticut in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.