Individual provider Active NPI

Edy Hasrouni, MD

  • Family Medicine Physician
  • Westlake, OH
National Provider Identifier
1700382389
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.152239 Issued in OH
Practice address
27175 Center Ridge Rd
Westlake, OH 44145-4024
Phone
(440) 768-2622
Fax
(888) 355-7009
NPI assigned
Apr 3, 2018
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 174111 CA
Family Medicine Physician 207Q00000X 35.152239 OH Primary

Addresses

Primary practice location

27175 Center Ridge Rd
Westlake, OH 44145-4024

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210903002452 CA Practitioner - Family Practice 3476959198 Reassigns benefits to 1 organization
I20250918003377 OH Practitioner - Family Practice 3476959198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Woodmont Blvd
Suite 600
Nashville, TN 37205-5250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174111CAMDFamily Medicine Physician
35.152239OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Ohio, Inc. Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Aug 1, 2021 Accepting new patients
Neighborhood Healthcare CurrentSince Aug 1, 2021 Accepting new patients
Neighborhood Healthcare PastSince Aug 29, 2021 Accepting new patients
Neighborhood Healthcare PastSince Aug 29, 2021 Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

4371 Latham St
Riverside, CA 92501

4371 Latham St
Ste 200
Riverside, CA 92501

26926 Cherry Hills Blvd
Ste B
Sun City, CA 92586
Phone (909) 301-9188

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

27175 Center Ridge Rd
Westlake, OH 44145
Phone (440) 768-2622

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 5

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1700382389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27175 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454024",
            "telephone_number": "440-768-2622",
            "fax_number": "888-355-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4371 Latham St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011706",
            "country_code": "US",
            "telephone_number": "833-867-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASROUNI",
        "first_name": "EDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "174111",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.152239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.