NPIMap

Individual provider Active NPI

Ahmad Khaled Jadallah, M.D.

  • Obstetrics Physician
  • Tallmadge, OH
National Provider Identifier
1336182526
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
35069084 Issued in OH
Practice address
121 Northwest Ave
Tallmadge, OH 44278-1809
Phone
(330) 633-1352
Fax
(330) 633-6068
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 35069084 OH Primary

Addresses

Primary practice location

121 Northwest Ave
Tallmadge, OH 44278-1809

Mailing address

121 Northwest Ave
Tallmadge, OH 44278-1809
Phone (330) 633-1352

Other practice location 1

919 E Turkeyfoot Lake Rd Ste A
Green, OH 44312-5250
Phone (330) 899-9626

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
I20031204000334 OH Practitioner - Obstetrics/Gynecology 2860397791 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians
Womens Health Group Inc.Group PAC ID 3476467218, 7 clinicians
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

121 Northwest Ave
Tallmadge, OH 44278-1809
Phone (330) 633-1350

676 S Broadway St
Suite 203
Akron, OH 44311-1059
Phone (330) 344-4025

919 E Turkeyfoot Lake Rd
Suite a
Akron, OH 44312-5250
Phone (330) 899-9626

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069084OHMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Jul 1, 2021 Accepting new patients
Partners Physician Group CurrentSince Jul 1, 2021 Accepting new patients
Akron General Medical Center CurrentSince Aug 4, 2003 Accepting new patients
Akron General Medical Center CurrentSince Aug 4, 2003 Accepting new patients
Summa Health System Past Accepting new patients
Partners Physician Group Past Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

676 S Broadway St
Ste 103
Akron, OH 44311
Phone (330) 252-1135

676 S Broadway St
Ste 203
Akron, OH 44311
Phone (330) 344-2020

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

4125 Medina Rd
Ste 203
Akron, OH 44333
Phone (330) 665-8222

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1336182526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NORTHWEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781809",
            "telephone_number": "330-633-1352",
            "fax_number": "330-633-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NORTHWEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781809",
            "telephone_number": "330-633-1352",
            "fax_number": "330-633-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 E Turkeyfoot Lake Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Green",
            "state": "OH",
            "postal_code": "443125250",
            "country_code": "US",
            "telephone_number": "330-899-9626",
            "fax_number": "330-633-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JADALLAH",
        "first_name": "AHMAD",
        "middle_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "35069084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

Verify at the official NPI Registry.