YASAMEEN FARDI (DO) – Nephrology Physician, NPI 1114556743

YASAMEEN FARDI (DO) is a healthcare provider. based in Cleveland, Ohio. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 58.031361 (OH). The NPI Number for YASAMEEN FARDI (DO) is 1114556743

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
YASAMEEN FARDI (DO)
NPI
1114556743
Phone
(216) 844-7031
Address
11100 EUCLID AVE
Enumeration Date
6 April 2020
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2166580458
Graduation Year
2020 (6 years ago)
PAC ID
0648600429
Group Practice PAC ID
8921997974
Professional Enrollment ID
I20220531000241
Address ID
OH441224855SH18720BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

547 NEPHROLOGY in OH

Provider Addresses for YASAMEEN FARDI (DO)

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone: (216) 844-7031

    Type: Location

  • 7719 GOODMAN DR NW

    GIG HARBOR, WA 983329558

    Phone: (253) 514-5840

    Type: Mailing

  • 27155 CHARDON RD STE 201

    RICHMOND HEIGHTS, OH 441431166

    Phone: (440) 585-7125

    Type: Location

  • 8055 MAYFIELD RD STE 105

    CHESTERLAND, OH 440262447

    Phone: (440) 214-8026

    Fax: (216) 201-7963

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($126).

Total Amount

$304

General + Research + Ownership

Payments

3

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-31

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
I20220531000241INephrologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44106)

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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: 8921997974View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nephrology, Internal MedicineOH
Nephrology, Internal MedicineOH
-OH
-OH
N E P H R O L O G YOH
N E P H R O L O G YOH
Nurse PractitionerOH
Nephrology, Internal MedicineOH

Reviews

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Frequently asked questions

Is there an official ID for YASAMEEN FARDI (DO) in U.S. healthcare records?
The official identifier for YASAMEEN FARDI (DO) is NPI 1114556743.
Would YASAMEEN FARDI (DO) appear as active to a payer?
You can treat YASAMEEN FARDI (DO) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with YASAMEEN FARDI (DO)?
YASAMEEN FARDI (DO)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is YASAMEEN FARDI (DO) registered?
Use Cleveland, Ohio as the headline location for YASAMEEN FARDI (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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