Heartland Therapeutics, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEARTLAND THERAPEUTICS, LLC

Practice address

Heartland Therapeutics
6310 N. Main St.
Dayton, OH 45415-3155

Phone

(937) 701-0030

Fax

(937) 221-9268

NPI assigned

May 27, 2015

Last updated

Oct 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdullahi Isa Mubarak, MDNPI 1861521940

Title

Owner

Phone

(937) 701-0031

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdullahi Isa Mubarak, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Dayton, OH
  • NPI 1861521940
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1538548391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEARTLAND THERAPEUTICS",
            "address_2": "6310 N. MAIN ST.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153155",
            "telephone_number": "937-701-0030",
            "fax_number": "937-221-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEARTLAND THERAPEUTICS",
            "address_2": "6310 N. MAIN ST.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153155",
            "telephone_number": "937-701-0030",
            "fax_number": "937-221-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "MUBARAK",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "ISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-701-0031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "35051593",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.