Active NPI
Fazal Jamil, MD
- Hospitalist Physician
- Youngstown, OH
National Provider Identifier
1245868694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 57.249662
- Practice address
- 1044 Belmont Ave
Youngstown, OH 44504-1006 - Phone
- (800) 837-4783
- Fax
- (330) 729-1591
- NPI assigned
- Mar 31, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 57.249662 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 57.249662 | OH |
Addresses
Primary practice location
1044 Belmont Ave
Youngstown, OH 44504-1006
Mailing address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-7320
Other practice location 1
667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-2378
Other practice location 2
8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-4298
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-2929
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- MH St Joseph Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.249662 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Hospitalist | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
Interoperability endpoints
- fjamil715068@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
Hospitalist
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1245868694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-480-7320",
"fax_number": "330-729-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "800-837-4783",
"fax_number": "330-729-1591"
}
],
"practiceLocations": [
{
"address_1": "667 Eastland Ave SE",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444844503",
"country_code": "US",
"telephone_number": "330-841-2378",
"fax_number": "330-729-1591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8401 Market St",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "445126725",
"country_code": "US",
"telephone_number": "330-729-4298",
"fax_number": "330-729-1591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMIL",
"first_name": "FAZAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "57.249662",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.249662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.