Yacoub Baghdy, M.D.
Individual provider Active NPI Internal Medicine Physician · Boardman, OH
NPI 1194135475 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1194135475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35.132176 (OH)
- Practice address
- 8401 Market St
Boardman, OH 44512-6725 - Phone
- (330) 729-4298
- Fax
- (330) 729-1897
- NPI assigned
- May 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hni Medical Services of Ohio, LLC
Practice addresses (Care Compare)
18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8000
Hospital & facility affiliations
- Mercy Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171004002570 | OH | Practitioner - Hospitalist |
0345546826 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services of Ohio, LLC | Internal Medicine | Current |
Accepting new patients |
| North East Ohio Group Practice LLC | Internal Medicine | Current |
Accepting new patients |
| Community Hospitalist, LLC | Internal Medicine | Current |
Accepting new patients |
| Mercy Health-Regional Medical Center LLC | Past | Accepting new patients |
Locations
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211
30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.132176 | OH | Yes |
| Hospitalist Physician | 208M00000X | 35.132176 | OH |
Addresses
Primary practice location
8401 Market St
Boardman, OH 44512-6725
Mailing address
8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-4298
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0243964 | Medicaid | OH |
Other providers in Boardman, OH
- Austintown Podiatry Associates Inc
- Avad Care LLC
- Marie Linda Awad-Alexander
- Backs and US, LLC
- Gilbert Russell Backus Jr.
- Lisa Baglieri
- Brent Baisch
- Catherine Susan Baker
- Robert S Bakondy
- Kingsley E Baldwin III
All providers in Boardman, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.