Active NPI
Ismail Umar Husain, DO
- Internal Medicine Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34014644
- Practice address
- 349 Niles Cortland Rd NE
Warren, OH 44484-1976 - Phone
- (330) 372-0260
- Fax
- (330) 372-0261
- NPI assigned
- Feb 25, 2016
- Last updated
- Dec 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | SS929978 | OH | |
| Internal Medicine Physician | 207R00000X | 34014644 | OH | Primary |
Addresses
Primary practice location
349 Niles Cortland Rd NE
Warren, OH 44484-1976
Mailing address
349 Niles Cortland Rd NE
Warren, OH 44484-1976
Phone (330) 372-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0336526 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34014644 | OH | MD | Internal Medicine Physician |
| SS929978 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E. Bisel, DO & Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Dr Larry Woods Inc | Past | Accepting new patients |
Locations
349 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 372-0260
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
667 Eastland Ave SE
Fl 5
Warren, OH 44484
Phone (330) 841-4750
8600 E Market St
Ste 8
Warren, OH 44484
Phone (330) 372-0260
Interoperability endpoints
- ihusain224607@direct.bsmhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Warren, OH
- NPI 1376649491
-
- Internal Medicine Physician
- Warren, OH
- NPI 1265505655
-
- Cardiovascular Disease Physician
- Warren, OH
- NPI 1407901663
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Health Center
- Clinical Medical Laboratory
- Warren, OH
- NPI 1538233309
Hospital
-
dba Mercy Health St Joseph Warren Hospital
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1497115059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 NILES CORTLAND RD NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841976",
"telephone_number": "330-372-0260",
"fax_number": "330-372-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 NILES CORTLAND RD NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841976",
"telephone_number": "330-372-0260",
"fax_number": "330-372-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "ISMAIL",
"middle_name": "UMAR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "SS929978",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34014644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0336526",
"state": "OH"
}
],
"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 Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.