Individual provider Active NPI

Osama Mitri

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1174532071
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-077131 Issued in OH
Practice address
2600 Sixth St SW
Canton, OH 44710-1702
Phone
(330) 363-2180
Fax
(330) 363-2179
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-077131 OH Primary

Addresses

Primary practice location

2600 Sixth St SW
Canton, OH 44710-1702

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 833-5530

Other identifiers 7

IdentifierTypeStateIssuer
95202OtherOHSUMMA HEALTH CARE
7860071OtherOHAETNA
P00006997OtherOHRAILROAD MEDICARE
0401531OtherOHUNITED HEALTH CARE
2189297MedicaidOH
279626OtherOHANTHEM BLUE CROSS AND BLU
56-2352995OtherOHAULTCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, MD, DC, TX, VA, OK, AL8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20031209000256 OH Practitioner - Internal MedicinePractitioner - Hospitalist 1153227475 Reassigns benefits to 2 organizations
I20160303002150 PA Practitioner - Internal MedicinePractitioner - Hospitalist 1153227475 Reassigns benefits to 1 organization
I20200501001767 MD Practitioner - Emergency Medicine 1153227475 Reassigns benefits to 2 organizations
I20200604000493 DC Practitioner - Internal Medicine 1153227475 Reassigns benefits to 1 organization
I20211130000072 TX Practitioner - Internal Medicine 1153227475 Reassigns benefits to 1 organization
I20231103002992 VA Practitioner - Internal Medicine 1153227475 Reassigns benefits to 1 organization
I20241105003504 OK Practitioner - Internal Medicine 1153227475 Reassigns benefits to 1 organization
I20241120004588 AL Practitioner - Hospitalist 1153227475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Ahn Hospitalist Group LTDGroup PAC ID 1153543251, 69 clinicians

Practice addresses (Care Compare)

130 Hays St
Luling, TX 78648-3207
Phone (830) 875-7057

2501 Freeport Rd
Pittsburgh, PA 15238-1409
Phone (412) 550-5550

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

3290 Saw Mill Run Blvd
Pittsburgh, PA 15227-2318
Phone (412) 359-3252

7900 FM
Suite 1826
Austin, TX 78737-1407
Phone (512) 324-9000

800 E Hwy 71
Smithville, TX 78957-1730
Phone (512) 237-3214

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.54 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
75.55 of 100Reported as group
Quality
70.56
Improvement activities
40
Cost
72.48

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-077131OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Ahn Hospitalist Group, LTD Internal Medicine CurrentSince Jan 23, 2016 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Apr 27, 2020 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince Oct 28, 2021 Accepting new patients
Usacs Integrated Acute Care Services of Alabama, LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Oct 21, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince May 31, 2021 Accepting new patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Nov 28, 2022 Accepting new patients
Mep Health, LLC CurrentSince Jan 1, 2021 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients
Wayne Internal Medicine Internal Medicine Past Accepting new patients

Locations

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Interoperability endpoints

  • Direct secure messaging: omitri852034@direct.bsmhealth.org

Organizations & group practices 12

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 8

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1174532071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-833-5530",
            "fax_number": "330-833-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-2180",
            "fax_number": "330-363-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRI",
        "first_name": "OSAMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-077131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA HEALTH CARE",
            "identifier": "95202",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7860071",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00006997",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0401531",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2189297",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "279626",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AULTCARE",
            "identifier": "56-2352995",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.