Individual provider Active NPI

Rudy Marwan Rouweyha, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hubbard, OH
National Provider Identifier
1528030830
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002620R Issued in OH
Practice address
634 W Liberty St
Hubbard, OH 44425-1749
Phone
(330) 534-4442
Fax
(330) 534-4446
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36002620R OH Primary

Addresses

Primary practice location

634 W Liberty St
Hubbard, OH 44425-1749

Mailing address

634 W Liberty St
Hubbard, OH 44425-1749
Phone (330) 534-4442

Other identifiers 1

IdentifierTypeStateIssuer
0822953MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060316000003 OH Practitioner - Podiatry 2769499748 Practice locations: Hubbard, OH; Warren, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1543 E Market St
Warren, OH 44483-6639
Phone (330) 856-7777

634 W Liberty St
Hubbard, OH 44425-1749
Phone (330) 534-4442

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of nail tissue151
Removal or shaving of skin growth83
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002620ROHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle Centers Inc Foot & Ankle Surgery Past Accepting new patients
Advanced Foot and Ankle Centers Inc Foot & Ankle Surgery PastSince Sep 1, 2001 Accepting new patients
Youngstown Ohio Hospital Company LLC Past Accepting new patients
Youngstown Ohio Physician Services Company LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rrouweyha35010@direct.bsmhealth.org

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1528030830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 W LIBERTY ST",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251749",
            "telephone_number": "330-534-4442",
            "fax_number": "330-534-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 W LIBERTY ST",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251749",
            "telephone_number": "330-534-4442",
            "fax_number": "330-534-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUWEYHA",
        "first_name": "RUDY",
        "middle_name": "MARWAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002620R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0822953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

Verify at the official NPI Registry.