Individual provider Active NPI

Ahmad Youssef

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1144602285
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101021767 Issued in MI
Practice address
30050 Hoover Rd Ste a
Warren, MI 48093-2544
Phone
(313) 242-7078
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.01426 OH
Internal Medicine Physician 207R00000X 5101021767 MI Primary

Addresses

Primary practice location

30050 Hoover Rd Ste a
Warren, MI 48093-2544

Mailing address

30050 Hoover Rd Ste a
Warren, MI 48093-2544
Phone (313) 242-7078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160916000231 MI Practitioner - Internal Medicine 8527377795
I20200702002545 OH Practitioner - Internal Medicine 8527377795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians
NW Ohio Hospital Medicine Physicians LLCGroup PAC ID 5092169375, 55 clinicians

Practice addresses (Care Compare)

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9349

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (844) 270-6621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Improvement activities
40
Cost
69.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.01426OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center CurrentSince Jul 7, 2020 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Jan 1, 2022 Accepting new patients
Blanchard Valley Regional Health Center Internal Medicine Current Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jul 7, 2020 Accepting new patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Jul 30, 2024 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Jan 1, 2022 Accepting new patients
Center for Hand & Extremity Reconstructive Surgery, PLC PastSince Jan 1, 2004 Accepting new patients
Southeastern Ohio Regional Medical Center Inc Past Accepting new patients

Locations

55 Hospital Dr
Ste 1
Athens, OH 45701

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

Organizations & group practices 8

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1144602285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30050 HOOVER RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932544",
            "telephone_number": "313-242-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30050 HOOVER RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932544",
            "telephone_number": "313-242-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "AHMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.01426",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101021767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.