Active NPI
Ghasem Ashelfah, M.D
- Hospitalist Physician
- Wooster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.121260
- Practice address
- 1761 Beall Ave
Wooster, OH 44691-2342 - Phone
- (330) 263-8428
- Fax
- (330) 263-8190
- NPI assigned
- Jul 16, 2010
- Last updated
- Jan 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT196487 | PA | |
| Internal Medicine Physician | 207R00000X | 35.121260 | OH | |
| Hospitalist Physician | 208M00000X | 35.121260 | OH | Primary |
Addresses
Primary practice location
1761 Beall Ave
Wooster, OH 44691-2342
Mailing address
1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090229 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 E River Rd
Elyria, OH 44035-5902
Phone (440) 329-7500
630 E River St
Elyria, OH 44035-5981
Phone (440) 284-8600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.121260 | OH | MD | Internal Medicine Physician |
| MT196487 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| Community Hospitalist, LLC | Internal Medicine | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Ashtabula County Medical Center | Current | Accepting new patients | |
| Samaritan Regional Health System | Past | Accepting new patients |
Locations
200 E Market St
Akron, OH 44308
Phone (330) 375-4112
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
11100 Euclid Ave
Cleveland Heights, OH 44106
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
Interoperability endpoints
- gashelfah37976@ehrdirect.uhhospitals.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1356815922
-
dba University Hospitals Samaritan Medical Center
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Hospitals Samaritan Medical Center
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1205149408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912342",
"telephone_number": "330-263-8428",
"fax_number": "330-263-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912342",
"telephone_number": "330-263-8428",
"fax_number": "330-263-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHELFAH",
"first_name": "GHASEM",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT196487",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.121260",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.121260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0090229",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.