NPIMap

Individual provider Active NPI

Sameh M Rizkalla, MD

  • Physical Medicine & Rehabilitation Physician
  • Copley, OH
National Provider Identifier
1700829280
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35.129395 Issued in OH
Practice address
4389 Medina Rd
Copley, OH 44321-1388
Phone
(234) 815-5100
NPI assigned
Jun 13, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD420837 PA
Physical Medicine & Rehabilitation Physician 208100000X 35.129395 OH Primary

Addresses

Primary practice location

4389 Medina Rd
Copley, OH 44321-1388

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (281) 724-3050

Other practice location 1

320 Main St
4th Floor
Johnstown, PA 15901-1601
Phone (814) 534-3854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161027002473 OH Practitioner - Physical Medicine and Rehabilitation 2163497652 Reassigns benefits to 2 organizations
I20260320000357 IA Practitioner - Physical Medicine and Rehabilitation 2163497652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1401 W Central Park Ave
Mercyone Genesis
Davenport, IA 52804-1707
Phone (563) 421-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Acute Physicians of Ohio PLLC Physical Medicine & Rehabilitation CurrentSince May 16, 2023 Accepting new patients
North Coast Professional Company, LLC CurrentSince Nov 10, 2016 Accepting new patients
North Coast Professional Company, LLC CurrentSince Nov 10, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Genesis Health System Past Accepting new patients
Cleveland Clinic Rehabilitation Hospitals, LLC Past Accepting new patients

Locations

1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000

4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1605 NW Professional Plz
Upper Arlington, OH 43220
Phone (614) 451-4577

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1700829280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "281-724-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 MEDINA RD",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211388",
            "telephone_number": "234-815-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Main St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159011601",
            "country_code": "US",
            "telephone_number": "814-534-3854",
            "fax_number": "814-534-9514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZKALLA",
        "first_name": "SAMEH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-02-19",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD420837",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.129395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copley, OH

Sources for this page

Verify at the official NPI Registry.