NPIMap

Individual provider Active NPI

Abdul T Razack, M.D.

  • Specialist
  • Lorain, OH
National Provider Identifier
1144294406
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
64185 Issued in OH
Practice address
3600 Kolbe Rd
Suite 221
Lorain, OH 44053-1652
Phone
(440) 960-2718
Fax
(440) 960-5633
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 64185 OH Primary

Addresses

Primary practice location

3600 Kolbe Rd
Suite 221
Lorain, OH 44053-1652

Mailing address

P.O. Box 364
Amherst, OH 44001-0364
Phone (440) 960-2718

Other identifiers 1

IdentifierTypeStateIssuer
0894368MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000725 OH Practitioner - Gastroenterology 3072402577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 988-1009

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy133
Upper gastrointestinal (GI) endoscopy for acid reflux175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health-Allen Hospital LLC CurrentSince Jan 27, 2019 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Jan 27, 2019 Accepting new patients
Fisher-Titus Medical Care LLC CurrentSince Sep 1, 2022 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince Jan 27, 2019 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health-Allen Hospital LLC Past Accepting new patients
Garcia Vascular Surgery Center, LLC Past Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

105 Opportunity Way
Lagrange, OH 44050
Phone (440) 222-4160

3600 Kolbe Rd
Ste 221
Lorain, OH 44053
Phone (440) 960-2718

3600 Kolbe Rd
Ste 227
Lorain, OH 44053
Phone (440) 960-3304

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

224 W Lorain St
Ste 100
Oberlin, OH 44074
Phone (440) 222-4970

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: arazack37948@ehrdirect.uhhospitals.org
  • Direct secure messaging: arazack229347@direct.bsmhealth.org

Organizations & group practices 10

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 3

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1144294406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 364",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440010364",
            "telephone_number": "440-960-2718",
            "fax_number": "440-960-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 221",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-2718",
            "fax_number": "440-960-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZACK",
        "first_name": "ABDUL",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "64185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894368",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.