NORTH COAST NEPHROLOGY, INC – Nephrology Physician, NPI 1871529321

NORTH COAST NEPHROLOGY, INC is a healthcare provider. based in Elyria, Ohio. specializing in Nephrology Physician. The NPI Number for NORTH COAST NEPHROLOGY, INC is 1871529321

Main info

Organization
Name
NORTH COAST NEPHROLOGY, INC
NPI
1871529321
Phone
(440) 323-3574
Address
1170 E BROAD ST
Authorized Official
DR. AHMED FAWZY PRESIDENT M.D
Enumeration Date
25 June 2006
Last Update Date
9 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for NORTH COAST NEPHROLOGY, INC

  • 1170, East Broad Street, Elyria, Lorain County, Ohio, 44035, United States

    SUITE 2

    ELYRIA, OH 440356351

    Phone: (440) 323-3574

    Fax: (440) 323-3552

    Mailing address matches the actual address.

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: 2004-03-10

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
O20040310000754OClinic/Group PracticeOHTBD

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 44035)

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Reviews

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Frequently asked questions

Is there an official ID for NORTH COAST NEPHROLOGY, INC in U.S. healthcare records?
The official identifier for NORTH COAST NEPHROLOGY, INC is NPI 1871529321.
Active or inactive — what applies to NORTH COAST NEPHROLOGY, INC?
You should see NORTH COAST NEPHROLOGY, INC as active in CMS-hosted NPPES data.
What expertise is attributed to NORTH COAST NEPHROLOGY, INC?
NORTH COAST NEPHROLOGY, INC's specialty line reads Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is NORTH COAST NEPHROLOGY, INC registered?
Use Elyria, Ohio as the headline location for NORTH COAST NEPHROLOGY, INC here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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