Active NPI
Hussam Tallab, M.D.
- Otolaryngology Physician
- New Castle, PA
National Provider Identifier
1174903397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD494457
- Practice address
- 3124 Wilmington Rd
New Castle, PA 16105-1100 - Phone
- (724) 936-5333
- Fax
- (724) 936-5339
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD494457 | PA | Primary |
| Otolaryngology Physician | 207Y00000X | 80.000072 | OH | |
| Otolaryngology Physician | 207Y00000X | 263399 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 263399 | MA |
Addresses
Primary practice location
3124 Wilmington Rd
New Castle, PA 16105-1100
Mailing address
3124 Wilmington Rd
New Castle, PA 16105-1100
Phone (724) 936-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004842 | Medicaid | OH |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221213000614 | OH | Practitioner - Otolaryngology | 4385068642 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Warren Otologic Group, Inc
Practice addresses (Care Compare)
3893 E Market St
Warren, OH 44484-4706
Phone (330) 856-4000
Hospital & facility affiliations
- Upmc Jameson
- Upmc Horizon
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80.000072 | OH | MD | Otolaryngology Physician |
| MD494457 | PA | MD | Otolaryngology Physician |
| 263399 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Current | Accepting new patients | |
| Insight Foundation of Trumbull | Current | Accepting new patients | |
| Insight Foundation of Trumbull | Current | Accepting new patients | |
| Warren Otologic Group, Inc | Otolaryngology | Current | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
3893 E Market St
Warren, OH 44484
Phone (330) 856-4000
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
7620 Southern Blvd
Ste 1
Youngstown, OH 44512
Phone (330) 629-2144
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
Organizations & group practices 5
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.
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- Plastic Surgery Physician
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- NPI 1588925457
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 5
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": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1174903397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 WILMINGTON RD",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051100",
"telephone_number": "724-936-5333",
"fax_number": "724-936-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 WILMINGTON RD",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051100",
"telephone_number": "724-936-5333",
"fax_number": "724-936-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLAB",
"first_name": "HUSSAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD494457",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "80.000072",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "263399",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "263399",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004842",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.