Individual provider Active NPI

Asmau N Misawa, MD

  • Family Medicine Physician
  • Boardman, OH
National Provider Identifier
1316325384
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.144229 Issued in OH
Practice address
8423 Market St Ste 101
Boardman, OH 44512-6778
Phone
(330) 729-8700
NPI assigned
May 11, 2015
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD468437 PA
Family Medicine Physician 207Q00000X MD60828363 WA
Family Medicine Physician 207Q00000X 35.144229 OH Primary

Addresses

Primary practice location

8423 Market St Ste 101
Boardman, OH 44512-6778

Mailing address

2347 Fifth Ave
McKeesport, PA 15132-1126
Phone (412) 673-5009

Other practice location 1

2347 Fifth Ave
McKeesport, PA 15132-1126
Phone (124) 673-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191120000877 PA Practitioner - Family Practice 9739494881 Reassigns benefits to 1 organization
I20220721001065 OH Practitioner - Family Practice 9739494881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-3195

8423 Market St
Suite 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD468437PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Upmc Community Medicine, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

2031 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-3605

2031 Belmont Ave
Ste B
Youngstown, OH 44505
Phone (330) 480-3033

8423 Market St
Ste 101
Youngstown, OH 44512
Phone (330) 729-8700

2347 5th Ave
McKeesport, PA 15132
Phone (412) 673-5009

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: amisawa1268583@direct.bsmhealth.org

Organizations & group practices 8

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 2

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1316325384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 FIFTH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151321126",
            "telephone_number": "412-673-5009",
            "fax_number": "412-673-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 MARKET ST STE 101",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126778",
            "telephone_number": "330-729-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2347 Fifth Ave",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151321126",
            "country_code": "US",
            "telephone_number": "124-673-5009",
            "fax_number": "124-673-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISAWA",
        "first_name": "ASMAU",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD468437",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60828363",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.144229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.