Individual provider Active NPI

Mona Abdelgalil Imam, M.D.

  • Allergy & Immunology Physician
  • Marietta, OH
National Provider Identifier
1053351494
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35073285 Issued in OH
Practice address
210 N 7TH St Ste 101
Marietta, OH 45750-2244
Phone
(740) 373-0669
Fax
(740) 568-5228
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35073285 OH Primary

Addresses

Primary practice location

210 N 7TH St Ste 101
Marietta, OH 45750-2244

Mailing address

PO Box 449
Marietta, OH 45750-0449

Other practice location 1

320 E 8th St Ste 140
Marietta, OH 45750-3382
Phone (740) 373-0669

Other identifiers 2

IdentifierTypeStateIssuer
2253421MedicaidOH
0070455000MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mona.imam@mmhs.medicity.net
Direct Messaging Address mona.imam@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000961 OH Practitioner - Allergy/Immunology 8426047762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35073285OHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Apr 30, 2025 Accepting new patients
The Metrohealth System CurrentSince Apr 30, 2025 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810

38 Main St
Ste 300
Westlake, OH 44145
Phone (216) 957-3200

Interoperability endpoints

  • Direct secure messaging: mimam308543@direct.metrohealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1053351494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 7TH ST STE 101",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502244",
            "telephone_number": "740-373-0669",
            "fax_number": "740-568-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E 8th St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503382",
            "country_code": "US",
            "telephone_number": "740-373-0669",
            "fax_number": "740-568-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMAM",
        "first_name": "MONA",
        "middle_name": "ABDELGALIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35073285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253421",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070455000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mona.imam@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "320 E 8th St Ste 140",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mona.imam@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "210 N 7th St Ste 101",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457502244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.