Individual provider Active NPI

Mourad Abdelmessih, M.D

  • Neurology Physician
  • Newark, OH
National Provider Identifier
1184628950
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35070805 Issued in OH
Practice address
1916 Tamarack Rd
Newark, OH 43055-2303
Phone
(740) 522-6110
Fax
(740) 522-0126
NPI assigned
Jun 9, 2005
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35070805 OH
Neurology Physician 2084N0400X 35070805 OH Primary

Addresses

Primary practice location

1916 Tamarack Rd
Newark, OH 43055-2303

Mailing address

1916 Tamarack Rd
Newark, OH 43055-2303
Phone (740) 322-3794

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000682 OH Practitioner - Neurology 6800793241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mid Ohio Neurology, IncGroup PAC ID 3274430608, 2 clinicians

Practice addresses (Care Compare)

1916 Tamarack Rd
Newark, OH 43055-2303
Phone 7405226110103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.14 of 100Reported as individual
Quality
20
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35070805OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Ohio Neurology, Inc Specialist CurrentSince Jan 1, 2004 Accepting new patients

Locations

1916 Tamarack Rd
Newark, OH 43055
Phone (740) 349-2978

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.

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1184628950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-322-3794",
            "fax_number": "740-522-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-522-6110",
            "fax_number": "740-522-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMESSIH",
        "first_name": "MOURAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-05-14",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35070805",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35070805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.