NPIMap

Individual provider Active NPI

Hassan Alzoubi, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1275509952
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35084519A Issued in OH
Practice address
18099 Lorain Ave Ste 425
Cleveland, OH 44111-5611
Phone
(216) 251-7899
Fax
(216) 252-5226
NPI assigned
Feb 23, 2006
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35084519A OH Primary

Addresses

Primary practice location

18099 Lorain Ave Ste 425
Cleveland, OH 44111-5611

Mailing address

PO Box 451460
Westlake, OH 44145-0639
Phone (440) 235-8484

Other identifiers 6

IdentifierTypeStateIssuer
11363212OtherCAQH
P00916116OtherOHRAILROAD MEDICARE
000000332579OtherANTHEM
2478840MedicaidOH
7524595OtherAETNA
108251OtherKAISER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001142 OH Practitioner - Internal Medicine 2264403039 Practice locations: Cleveland, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18099 Lorain Ave
Suite 425
Cleveland, OH 44111-5611
Phone (216) 251-7899

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35084519AOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Lutheran Hospital Past Accepting new patients
Hassan Alzoubi MD Internal Medicine PastSince Jan 1, 2011 Accepting new patients
Fairview Hospital Past Accepting new patients
Franklin Boulevard Nursing Home, Inc. Past Accepting new patients
Garden Healthcare of Rocky River LLC Past Accepting new patients
The Cleveland Clinic Foundation PastSince Jan 12, 2025 Accepting new patients
Buckeye Forest at North Olmstead LLC Past Accepting new patients
University Hospitals St. John Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: halzoubi581310@ehrdirect.uhhospitals.org
  • Direct secure messaging: halzoubi93539@direct.ccf.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gardens of North OlmstedNorth Olmsted, OH, CCN 365310 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jan 1, 2022
Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 9

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1275509952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451460",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450639",
            "telephone_number": "440-235-8484",
            "fax_number": "440-235-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE STE 425",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115611",
            "telephone_number": "216-251-7899",
            "fax_number": "216-252-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZOUBI",
        "first_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35084519A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11363212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00916116",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000332579",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2478840",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7524595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "108251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.