Active NPI
Abdelkarim Waness, MD
- Internal Medicine Physician
- Elyria, OH
National Provider Identifier
1639149131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35066110
- Practice address
- 10325 Dewhurst Rd
Elyria, OH 44035-8403 - Phone
- (440) 366-3600
- Fax
- (440) 365-8826
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 35066110 | OH | Primary |
Addresses
Primary practice location
10325 Dewhurst Rd
Elyria, OH 44035-8403
Mailing address
1220 Moore Rd
Suite B
Avon, OH 44011-4044
Phone (440) 930-4446
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000128702 | Other | OH | ANTHEM |
| E66110 | Other | OH | SUMMA |
| 0979508 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066110 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Ohio Heart Center Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Lorain, OH
- NPI 1457322992
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1639149131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MOORE RD",
"address_2": "SUITE B",
"city": "AVON",
"state": "OH",
"postal_code": "440114044",
"telephone_number": "440-930-4446",
"fax_number": "440-934-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10325 DEWHURST RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440358403",
"telephone_number": "440-366-3600",
"fax_number": "440-365-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANESS",
"first_name": "ABDELKARIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35066110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000128702",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMA",
"identifier": "E66110",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0979508",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.