Active NPI
North Shore Endoscopy Center
- Gastroenterology Physician
- Westlake, OH
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- Care Compare: Ambulatory surgical center
- Care Compare: Ambulatory surgical center
- Laboratory certificates & supplier records
- National Provider Directory
- Practitioners & affiliated clinicians
- NPI Registry JSON
- Other providers in Westlake, OH
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NORTH SHORE ENDOSCOPY CENTER
- Practice address
- 850 Columbia Rd Ste 200
Westlake, OH 44145-7215 - Phone
- (440) 808-1212
- Fax
- (440) 808-0321
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 22, 2025
- 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. Mousab I Tabbaa, MD
- Title
- President
- Phone
- (440) 808-1212
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
850 Columbia Rd Ste 200
Westlake, OH 44145-7215
Mailing address
850 Columbia Rd Ste 200
Westlake, OH 44145-7215
Phone (440) 808-1212
Other practice location 1
7580 Northcliff Ave Ste 1000
Brooklyn, OH 44144-3271
Phone (440) 808-1212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490002928 | Other | OH | RAILROAD MEDICARE |
| 0226151 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000507 | OH | Part B Supplier - Ambulatory Surgical Center | 7416844733 | Practice locations: Brooklyn, OH; Westlake, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- North Shore Endoscopy Center LTD
- Medicare certification status
- Active
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- North Shore Endoscopy Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0903342 | North Shore Endoscopy Center | Certificate of waiver | Aug 28, 2027 |
| 36D1017662 | North Shore Endoscopy Center | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
1 Infinity Corporate Centre Dr
#130E
Garfield Heights, OH 44125
Phone (216) 663-7064
1 Infinity Corporate Centre Dr
Ste 130
Garfield Hts, OH 44125
Phone (216) 663-7064
850 Columbia Rd
Ste 200
Westlake, OH 44145
Practitioners & affiliated clinicians
Practitioners 51
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Westlake, OH
- NPI 1184642050
-
- Adult Health Nurse Practitioner
- Westlake, OH
- NPI 1033407028
-
- Family Nurse Practitioner
- Westlake, OH
- NPI 1881173912
-
- Gastroenterology Physician
- Westlake, OH
- NPI 1417272113
-
- Adult Health Nurse Practitioner
- Cleveland, OH
- NPI 1124467055
-
- Gastroenterology Physician
- Westlake, OH
- NPI 1023039310
-
- Gastroenterology Physician
- Brooklyn, OH
- NPI 1952323784
-
- Gastroenterology Physician
- Westlake, OH
- NPI 1811130222
-
- Adult Health Nurse Practitioner
- Westlake, OH
- NPI 1508896754
-
- Gastroenterology Physician
- Westlake, OH
- NPI 1588981195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1467474585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 COLUMBIA RD STE 200",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441457215",
"telephone_number": "440-808-1212",
"fax_number": "440-808-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 COLUMBIA RD STE 200",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441457215",
"telephone_number": "440-808-1212",
"fax_number": "440-808-0321"
}
],
"practiceLocations": [
{
"address_1": "7580 Northcliff Ave Ste 1000",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "OH",
"postal_code": "441443271",
"country_code": "US",
"telephone_number": "440-808-1212",
"fax_number": "440-808-0321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH SHORE ENDOSCOPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "TABBAA",
"authorized_official_first_name": "MOUSAB",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-808-1212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "490002928",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0226151",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
- North Ohio Endoscopy Center LLC
- North Ohio Gastroenterology
- North Ohio Heart Center, Inc
- North Ohio Medical Imaging
- North Shore Anesthesia Limited, LLC
- North Shore Gastroenterology, Inc
- North Shore Gastroenterology, Inc.
- North Shore Pathology LLC
- Northcoast Anesthesia Providers
- Northcoast Anesthesia Providers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.