Eid Alhatem, M.D

Individual provider Active NPI Internal Medicine Physician · Georgetown, OH

NPI 1508064270 · NPPES record last updated Aug 6, 2010

Key facts

NPI
1508064270
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
35-094874 (OH)
Practice address
425 Home St
Georgetown, OH 45121-1407
Phone
(937) 378-7515
Fax
(937) 378-7513
NPI assigned
Jul 4, 2007
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Hospitalist
Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Physician Professional Corporation (143 clinicians)

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

2600 6TH SWST
Canton, OH 44710-1702
Phone (330) 363-1342

2600 W 6TH St
Canton, OH 44710-1702

Hospital & facility affiliations

  • Aultman Hospital Hospital · Canton, OH · CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100 (group)
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100928000936 OH Practitioner - Hospitalist
Practitioner - Internal Medicine
8022134956 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-094874OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Physician Professional Corporation Internal Medicine Current
since Nov 1, 2014
Accepting new patients
Health Professionals of Holmes County, Inc Current
since Jun 1, 2012
Accepting new patients
Aultman Hospital Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

420 S Reeves Ave
Ste B
Dover, OH 44622
Phone (330) 364-4461

1261 Wooster Rd
Ste 200
Millersburg, OH 44654
Phone (330) 674-2822

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-094874 OH Yes

Addresses

Primary practice location

425 Home St
Georgetown, OH 45121-1407

Mailing address

425 Home St
Georgetown, OH 45121-1407
Phone (937) 378-7515

Other providers in Georgetown, OH

All providers in Georgetown, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.