SHERIF MOHAMED BADAWY MD
NPI 1821355660
Pediatrics - Pediatric Hematology-Oncology in Chicago, IL

NPI Status: Active since April 18, 2012

Contact Information

225 E CHICAGO AVE # 30
CHICAGO, IL
ZIP 60611
Phone: (312) 227-4090

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  • Individual
  • Male
  • Years of Experience 21
  • Pediatrics
  • Pediatric Hematology-Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHERIF BADAWY

This page provides the complete NPI Profile along with additional information for Sherif Badawy, a pediatrician established in Chicago, Illinois with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1821355660 assigned on April 2012. The practitioner's primary taxonomy code is 2080P0207X with license number 336.102618 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1821355660
Provider Name
SHERIF MOHAMED BADAWY MD
Gender
Male
Entity Type
Individual
Location Address
225 E CHICAGO AVE # 30 CHICAGO, IL 60611
Location Phone
(312) 227-4090
Mailing Address
14 WYNDHAM CT OAK BROOK, IL 60523
Mailing Phone
(646) 392-5387
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
04-18-2012
Last Update Date
04-04-2017
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A pediatrician like Sherif Badawy is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Hematology-Oncology

Taxonomy Code
2080P0207X
Type
Allopathic & Osteopathic Physicians
License No.
336.102618
License State
IL
Taxonomy Description
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

336.102618 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sherif Badawy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sherif Badawy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8820373210

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170327002737

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sherif Badawy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO225 E CHICAGO AVE, BOX 140
CHICAGO, IL 60611
(312) 227-4000Childrens

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821355660
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28416510612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 5 + 1 + 0 + 6 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1821355660 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396215653MS. KRISTIN BURGE CLEMENZ MS
Individual
Genetic Counselor, MS225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4817
1902854607 KIMBERLY E THORMANN POWERS MA CPNP
Individual
Pediatrics225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-3582
1538424056 ALICIA LENZEN M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4874
1932112505 RACHEL S BERCOVITZ MD
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4090
1003233552 KYLE L MACQUARRIE MD PHD
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4000
1043452436 AMY LEANNE WALZ M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4090
1295188043MISS ELIZABETH BLAIR BALLANTYNE HORAN CPNP
Individual
Nurse Practitioner (Pediatrics)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4853
1831488659 SARA ZARNEGAR-LUMLEY M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4000
1639339369DR. MIRIAM BORNHORST MD
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4090
1699195818DR. MAGGIE DIANE SEBLANI DO
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4855
1285175414DR. XIAOPEI ZENG MD
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4000
1306080957 JOHN H. FARGO DO
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4090
1518229129 CHRISTINA BARRITEAU MD
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4000
1699724385DR. JOANNA LYNN WEINSTEIN MD
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4000
1922419456DR. KEVIN OWEN MCNERNEY MD
Individual
Pediatrics (Pediatric Hematology-Oncology)225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4859
1699928812MS. SUSAN ELIZABETH GAMERMAN RN, PNP-BC
Individual
Nurse Practitioner225 E CHICAGO AVE # 30
CHICAGO, IL 60611
(312) 227-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821355660, enumerated in the NPI registry as an "individual" on April 18, 2012

The provider is located at 225 E Chicago Ave # 30 Chicago, Il 60611 and the phone number is (312) 227-4090

The provider's speciality is Pediatrics with taxonomy code 2080P0207X with a focus in Pediatric Hematology-Oncology

The provider has more than 21 years of experience.

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 18, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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