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
- 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
- Code Navigator
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.
Location Map
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) |
---|---|---|---|---|
1 | 208000000X | Allopathic & 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 CHICAGO | 225 E CHICAGO AVE, BOX 140 CHICAGO, IL 60611 | (312) 227-4000 | Childrens |
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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. | |||||||||
1 | 8 | 2 | 1 | 3 | 5 | 5 | 6 | 6 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 4 | 1 | 6 | 5 | 10 | 6 | 12 | |
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 |
---|---|---|---|
1396215653 | MS. KRISTIN BURGE CLEMENZ MS Individual | Genetic Counselor, MS | 225 E CHICAGO AVE # 30 CHICAGO, IL 60611 (312) 227-4817 |
1902854607 | KIMBERLY E THORMANN POWERS MA CPNP Individual | Pediatrics | 225 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 |
1295188043 | MISS 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 |
1639339369 | DR. MIRIAM BORNHORST MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 225 E CHICAGO AVE # 30 CHICAGO, IL 60611 (312) 227-4090 |
1699195818 | DR. MAGGIE DIANE SEBLANI DO Individual | Pediatrics (Pediatric Hematology-Oncology) | 225 E CHICAGO AVE # 30 CHICAGO, IL 60611 (312) 227-4855 |
1285175414 | DR. 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 |
1699724385 | DR. JOANNA LYNN WEINSTEIN MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 225 E CHICAGO AVE # 30 CHICAGO, IL 60611 (312) 227-4000 |
1922419456 | DR. KEVIN OWEN MCNERNEY MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 225 E CHICAGO AVE # 30 CHICAGO, IL 60611 (312) 227-4859 |
1699928812 | MS. SUSAN ELIZABETH GAMERMAN RN, PNP-BC Individual | Nurse Practitioner | 225 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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