Individual provider Active NPI

Adil Omer Elgizouli

  • Transportation Network Company
  • Akron, OH
National Provider Identifier
1548073588
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
License
33-1711021 Issued in OH
Practice address
90 Crystal Lake Rd
Akron, OH 44333-1786
Phone
(551) 222-3140
NPI assigned
Jan 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X 331711021 OH
Transportation Network Company 342000000X 342000000X OH
Transportation Network Company 342000000X 33-1711021 OH Primary

Addresses

Primary practice location

90 Crystal Lake Rd
Akron, OH 44333-1786

Mailing address

90 Crystal Lake Rd
Akron, OH 44333-1786
Phone (551) 222-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33-1711021OHMDTransportation Network Company
331711021OHMDTransportation Network Company
342000000XOHMDTransportation Network Company

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1548073588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CRYSTAL LAKE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331786",
            "telephone_number": "551-222-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CRYSTAL LAKE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331786",
            "telephone_number": "551-222-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIZOULI",
        "first_name": "ADIL",
        "middle_name": "OMER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "OH",
            "license": "331711021",
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "OH",
            "license": "342000000X",
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "OH",
            "license": "33-1711021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.