Individual provider Active NPI

Hala Abuenaaj

  • Physician Assistant
  • Youngstown, OH
National Provider Identifier
1174339055
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8149 Stadler Ave
Youngstown, OH 44512-6321
Phone
(330) 942-8058
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

8149 Stadler Ave
Youngstown, OH 44512-6321

Mailing address

8149 Stadler Ave
Youngstown, OH 44512-6321

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606002346 OH Practitioner - Physician Assistant 8123538303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

120 N Lincoln Ave
Salem, OH 44460-2904
Phone (234) 320-7770

15 Boardman Canfield Rd
Suite 4
Boardman, OH 44512-4541
Phone (330) 333-4200

2005 Elm Rd NE
Warren, OH 44483-4003
Phone (330) 647-6800

3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 759-0085

421 S High St
Cortland, OH 44410-1437
Phone (330) 485-0670

4990 Mahoning Ave
Austintown, OH 44515-1757
Phone (330) 992-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: hala.abuenaaj.1@19801.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1174339055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8149 STADLER AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 STADLER AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126321",
            "telephone_number": "330-942-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUENAAJ",
        "first_name": "HALA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.