Dr Eliyazar Gaddam, MD - Medicare Cardiovascular Disease (cardiology) in Lima, OH

Dr Eliyazar Gaddam, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Lima, Ohio. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Friedell Clinic, S. C., Foundation For Outreach Services and his current practice location is 951 Commerce Pkwy, Suite 100, Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 224-5915.

Dr Eliyazar Gaddam is licensed to practice in Ohio (license number 35.127156) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073561858.

Contact Information

Dr Eliyazar Gaddam, MD
951 Commerce Pkwy, Suite 100,
Lima, OH 45804-4040
(419) 224-5915
(419) 224-5918



Physician's Profile

Full NameDr Eliyazar Gaddam
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience38 Years
Location951 Commerce Pkwy, Lima, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eliyazar Gaddam graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1073561858
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 08/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749274140
  • Enrollment ID: I20040409000013

Medical Identifiers

Medical identifiers for Dr Eliyazar Gaddam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073561858NPI-NPPES
1073561858MedicaidWI
036083544MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 35.127156 (Ohio)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 036083544 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Park HospitalChicago, ILHospital
Norwegian-american HospitalChicago, ILHospital
St Bernard HospitalChicago, ILHospital
Loretto HospitalChicago, ILHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Eliyazar Gaddam allows following entities to bill medicare on his behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584

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Entity NameFriedell Clinic, S. C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306854021
PECOS PAC ID: 2567366164
Enrollment ID: O20031125000405

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Entity NameFoundation For Outreach Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316350242
PECOS PAC ID: 3375507163
Enrollment ID: O20041111001020

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Entity NameTouhy Diagnostic At Home, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518042548
PECOS PAC ID: 0446223689
Enrollment ID: O20050329000096

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Entity NameMetro Physicians & Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699723403
PECOS PAC ID: 2365535465
Enrollment ID: O20070906000083

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eliyazar Gaddam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Eliyazar Gaddam, MD
951 Commerce Pkwy, Suite 101,
Lima, OH 45804-4040

Ph: (419) 998-4575
Dr Eliyazar Gaddam, MD
951 Commerce Pkwy, Suite 100,
Lima, OH 45804-4040

Ph: (419) 224-5915

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› Verified 2 days ago


Internal Medicine Doctors in Lima, OH

Deena M Hassuna, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 825 W Market St Ste 260, Lima, OH 45805
Phone: 199-964-0034    Fax: 419-996-5276
Mr. Tariq I Sheikh, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2793 Shawnee Rd, Lima, OH 45806
Phone: 419-227-8209    Fax: 419-222-6007
Pratap Balusu, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 750 W High St, Ste 250, Lima, OH 45801
Phone: 419-227-7399    Fax: 419-229-0123
Mr. Charles W Brunelle, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 375 N Eastown Rd, Lima, OH 45807
Phone: 419-228-3500    Fax: 419-228-6700
Norman Otis Moser, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 750 W High St, Suite 150, Lima, OH 45801
Phone: 419-227-1359    Fax: 419-227-7586
Yaser Hamwi, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 730 W Market St, Lima, OH 45801
Phone: 419-226-4310    Fax: 419-226-4315

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