Active NPI
Hothaifa Abuyaqoub, MD
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1326774548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.252712
- Practice address
- 2351 E 22ND St
Cleveland, OH 44115-3111 - Phone
- (216) 861-6200
- Fax
- (216) 363-7490
- NPI assigned
- Jul 29, 2022
- Last updated
- Jul 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.252712 | OH | Primary |
Addresses
Primary practice location
2351 E 22ND St
Cleveland, OH 44115-3111
Mailing address
1496 Westford Circile
Westlake, OH 44145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221202002028 | OH | Order and Referring Only - Internal Medicine | 4789053398 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.252712 | OH | MD | Internal Medicine Physician |
Interoperability endpoints
- habuyaqoub218276@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1326774548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1496 WESTFORD CIRCILE",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 E 22ND ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153111",
"telephone_number": "216-861-6200",
"fax_number": "216-363-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUYAQOUB",
"first_name": "HOTHAIFA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.252712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
- Suha Abushamma, M.D.
- Osama Abushawer, MD, MS
- Omar Abushehadeh, DO
- Mohammed Salah Abdelkhaleq Abusuliman, MD
- Hadeel Naim Abuteer, MD
- Rayan Abuzahrieh, RBT
- Saad Abuzakyah, D.D.S
- Abdalla Abuzubida, MD
- Acacia Educational Therapeutic & Diagnostic Learning Center LLP (Acacia Learning Center LLP)
- Acacia Speech Therapy Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.