Active NPI
Ameed Mohammad Mahmoud Bawwab
- Internal Medicine Physician
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25.147065
- Practice address
- 1320 Mercy Dr NW
Canton, OH 44708-2614 - Phone
- (330) 489-1000
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25.147065 | OH | Primary |
Addresses
Primary practice location
1320 Mercy Dr NW
Canton, OH 44708-2614
Mailing address
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1000
Other practice location 1
2351 E 22nd St Ste 338W
Cleveland, OH 44115-3111
Phone (216) 861-6200
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824002172 | OH | Practitioner - Internal Medicine | 7113395732 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25.147065 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Cleveland Clinic Mercy Hospital | Past | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
Internal Medicine, OH
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
Internal Medicine, OH
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Canton, OH
- NPI 1487605978
Inpatient rehabilitation facility
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Medicine Physicians of Ohio, Professional CorporationHospitalist Medicine Physicians of Richland County, LTD
Practice addresses (Care Compare)
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1000
Hospital & facility affiliations
- Mercy Medical Center
- Akron General Medical Center
- Union Hospital
- Mercy Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1497366264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 MERCY DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447082614",
"telephone_number": "330-489-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MERCY DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447082614",
"telephone_number": "330-489-1000"
}
],
"practiceLocations": [
{
"address_1": "2351 E 22nd St Ste 338W",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441153111",
"country_code": "US",
"telephone_number": "216-861-6200",
"fax_number": "216-363-7490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAWWAB",
"first_name": "AMEED",
"middle_name": "MOHAMMAD MAHMOUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "25.147065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.