NPIMap

Individual provider Active NPI

Dana Habash-Bseiso, MD

  • Internal Medicine Physician
  • Westlake, OH
National Provider Identifier
1174631436
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45916 Issued in WI
Practice address
25651 Detroit Rd Ste 304
Westlake, OH 44145-2415
Phone
(440) 808-8620
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 45916 WI Primary

Addresses

Primary practice location

25651 Detroit Rd Ste 304
Westlake, OH 44145-2415

Mailing address

PO Box 772040
Detroit, MI 48277-2040

Other identifiers 1

IdentifierTypeStateIssuer
34830800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060317000426 WI Practitioner - Internal Medicine 2062429954 Reassigns benefits to 2 organizations
I20220922001877 OH Practitioner - Internal Medicine 2062429954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

960 Clague Rd
Westlake, OH 44145-1588

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45916WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Aug 1, 2022 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
MCHS Hospitals Inc Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 6, 2006 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

960 Clague Rd
Ste 3201
Westlake, OH 44145

25651 Detroit Rd
Ste 304
Westlake, OH 44145
Phone (440) 808-8620

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: dhabashbseiso37750@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 7

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1174631436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772040",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25651 DETROIT RD STE 304",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452415",
            "telephone_number": "440-808-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASH-BSEISO",
        "first_name": "DANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "45916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34830800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.