Active NPI
Mohamad Marouf, MD
- Emergency Medicine Physician
- Richmond Heights, OH
National Provider Identifier
1265417117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35075251M
- Practice address
- 27100 Chardon Rd
Richmond Heights, OH 44143-1116 - Phone
- (440) 585-6500
- Fax
- (330) 656-5901
- NPI assigned
- Dec 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35075251M | OH | Primary |
Addresses
Primary practice location
27100 Chardon Rd
Richmond Heights, OH 44143-1116
Mailing address
24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2225167 | Medicaid | OH | |
| 7858192 | Other | OH | AETNA |
| 415007 | Other | OH | WELLCARE |
| P00432291 | Other | OH | RAILROAD MEDICARE |
| BUCKEYE | Other | OH | 732690 |
| 000000538199 | Other | OH | ANTHEM |
| 000000381220 | Other | OH | ANTHEM |
| 1265417117 | Medicaid | MI | |
| 000000221291 | Other | OH | UNISON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35075251M | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ues Richmond Heights LLC | Emergency Medicine | Past | Accepting new patients |
| Uhhs Bedford | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Richmond Heights, OH
- NPI 1568414613
-
- Internal Medicine Physician
- Bedford, OH
- NPI 1811933419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1265417117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "3RD FLOOR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27100 CHARDON RD",
"city": "RICHMOND HEIGHTS",
"state": "OH",
"postal_code": "441431116",
"telephone_number": "440-585-6500",
"fax_number": "330-656-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROUF",
"first_name": "MOHAMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35075251M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2225167",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7858192",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "415007",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00432291",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "732690",
"identifier": "BUCKEYE",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000538199",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000381220",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265417117",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000221291",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.