Individual provider Active NPI

Yusef A Hammuda, PA

  • Physician Assistant
  • Troy, OH
National Provider Identifier
1659624351
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003550 Issued in OH
Practice address
3130 N Dixie Hwy
Troy, OH 45373-1337
Phone
(937) 440-4600
Fax
(937) 619-4150
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003550 OH Primary

Addresses

Primary practice location

3130 N Dixie Hwy
Troy, OH 45373-1337

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5777

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000704 OH Practitioner - Physician Assistant 1456503390 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003550OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC Physician Assistant CurrentSince Sep 1, 2021 Accepting new patients
University of Toledo Physicians LLC CurrentSince Aug 19, 2014 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jun 30, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jun 30, 2021 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jun 30, 2021 Accepting new patients
University of Toledo Physicians LLC Physician Assistant CurrentSince Aug 19, 2014 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Physician Assistant CurrentSince Sep 1, 2021 Accepting new patients
Erie Emergency Physicians, Inc. Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

Interoperability endpoints

  • Direct secure messaging: yusef.hammuda.1@19745.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1659624351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-4600",
            "fax_number": "937-619-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMUDA",
        "first_name": "YUSEF",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.