Active NPI
Medical Associates of Warren, Inc.
- Internal Medicine Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35068993
- Legal business name
- MEDICAL ASSOCIATES OF WARREN, INC.
- Practice address
- 1114 E Market St
Warren, OH 44483-6632 - Phone
- (330) 609-5277
- Fax
- (330) 609-5294
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kapil Kwatra, M.D.
- Title
- C.E.O
- Phone
- (330) 609-5277
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35068993 | OH | Primary |
Addresses
Primary practice location
1114 E Market St
Warren, OH 44483-6632
Mailing address
9375 East Market St
Warren, OH 44484
Phone (330) 609-5277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040706000917 | OH | Part B Supplier - Clinic/Group Practice | 9234116427 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Warren, OH |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Warren, OH
- NPI 1649450032
O20040706000917
National Provider Directory
National Provider DirectoryLocations
1114 E Market St
Warren, OH 44483
Phone (330) 394-4180
9375 E Market St
Warren, OH 44484
Phone (330) 394-4180
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Minnetonka, MN
- NPI 1770551608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195516800000",
"number": "1336320548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 EAST MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "44484",
"telephone_number": "330-609-5277",
"fax_number": "330-609-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836632",
"telephone_number": "330-609-5277",
"fax_number": "330-609-5294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF WARREN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-20",
"status": "A",
"authorized_official_last_name": "KWATRA",
"authorized_official_first_name": "KAPIL",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "330-609-5277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35068993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.