Individual provider Active NPI

Nagah E. Elarossi, M.D.

  • Internal Medicine Physician
  • Marion, OH
National Provider Identifier
1487600359
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-08-6156 Issued in OH
Practice address
136 W Center St
Marion, OH 43302-3704
Phone
(740) 751-6380
Fax
(740) 751-4866
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-08-6156 OH Primary

Addresses

Primary practice location

136 W Center St
Marion, OH 43302-3704

Mailing address

136 W Center St
Marion, OH 43302-3704
Phone (740) 751-6380

Other identifiers 1

IdentifierTypeStateIssuer
2581755MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000955 OH Practitioner - Internal Medicine 9436127362 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center Street Community Clinic Inc CurrentSince Jan 3, 2015 Accepting new patients
Center Street Community Clinic, Inc CurrentSince Jan 3, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Medical Care of Marysville, LLC Internal Medicine PastSince Aug 1, 2006 Accepting new patients

Locations

136 W Center St
Marion, OH 43302
Phone (740) 751-4531

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1487600359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-6380",
            "fax_number": "740-751-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-6380",
            "fax_number": "740-751-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAROSSI",
        "first_name": "NAGAH",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-08-6156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2581755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.