Individual provider Active NPI

Bassel Michel Choufani, M.D

  • Internal Medicine Physician
  • Boardman, OH
National Provider Identifier
1659539245
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
127859 Issued in OH
Practice address
910 Boardman Canfield Rd
Boardman, OH 44512-4218
Phone
(330) 965-0075
NPI assigned
May 30, 2008
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LPR00176 RI
Internal Medicine Physician 207R00000X MD12728 RI
Internal Medicine Physician 207R00000X MD157673 OR
Internal Medicine Physician 207R00000X 127859 OH Primary

Addresses

Primary practice location

910 Boardman Canfield Rd
Boardman, OH 44512-4218

Mailing address

6730 Langston Run
Canfield, OH 44406-9284
Phone (401) 688-8844

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518002379 OH Practitioner - Internal MedicinePractitioner - Other (Physician) 5799850004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442

910 Boardman Canfield Rd
Youngstown, OH 44512-4218

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
127859OHMDInternal Medicine Physician
LPR00176RIMDInternal Medicine Physician
MD12728RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients

Locations

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

910 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 565-4999

910 Boardman Canfield Rd
Ste B
Youngstown, OH 44512
Phone (330) 965-0075

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1659539245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 LANGSTON RUN",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069284",
            "telephone_number": "401-688-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124218",
            "telephone_number": "330-965-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUFANI",
        "first_name": "BASSEL",
        "middle_name": "MICHEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LPR00176",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD12728",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD157673",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "127859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.