Amin Youssef Khalil, M.D.
Individual provider Active NPI Internal Medicine Physician · Hartville, OH
NPI 1700867959 · NPPES record last updated Feb 17, 2011
Key facts
- NPI
- 1700867959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35077196 (OH)
- Practice address
- 855 W Maple St
Hartville
Hartville, OH 44632-9668 - Phone
- (330) 877-9388
- Fax
- (330) 488-2907
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
113 Cedar S St
East Canton, OH 44730-1305
113 Cedar St S
East Canton, OH 44730-1305
Phone (330) 488-0767
200 Carolyn CT
Minerva, OH 44657-8758
Phone (330) 868-4184
855 W Maple St
Hartville
Hartville, OH 44632-9668
855 W Maple St
Suite 130
Hartville, OH 44632-7601
Phone (330) 877-9388
Hospital & facility affiliations
- Aultman Health Care in Your Home
- Aultman Hospital
- Mercy Medical Center
- Alliance Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 39 |
| Removal of skin lesions | 136 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000074 | OH | Practitioner - Internal Medicine | 0446213417 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077196 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartville Internal Medicine PA | Internal Medicine | Current | Accepting new patients |
| Hartville Internal Medicine PA | Internal Medicine | Current | Accepting new patients |
| Hartville Internal Medicine PA | Internal Medicine | Current |
Accepting new patients |
Locations
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
113 Cedar St S
East Canton, OH 44730
Phone (330) 488-0767
855 W Maple St
Ste 130
Hartville, OH 44632
Phone (330) 877-3616
200 Carolyn Ct
Minerva, OH 44657
Phone (330) 868-4184
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJCHAA/Endpoint/AJCHAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35077196 | OH | Yes |
Addresses
Primary practice location
855 W Maple St
Hartville
Hartville, OH 44632-9668
Mailing address
855 W Maple St
Hartville
Hartville, OH 44632-9668
Phone (330) 877-9388
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22639 | Other | OH | QUALCHOICE |
| 101425 | Other | OH | BLACK LUNG |
| 341960347 | Other | OH | AETNA |
| 341960347A | Other | OH | AULTCARE |
| 174396 | Other | OH | HIGHMARK BC/BS |
| 1962238 | Other | OH | FIRST HEALTH NETWORK |
| 340960347 | Other | OH | SUMMA |
| 000000213674 | Other | OH | ANTHEM |
| 104450 | Other | OH | KAISER PERMANENTE |
| 341960347027 | Medicaid | OH | |
| 2187271 | Medicaid | OH | |
| 341960347 | Other | OH | CIGNA |
Other names
- Joseph A Khalil
Other providers in Hartville, OH
- Joseph P. Belloni, DC, Inc.
- Judy'S Compassionate Care LLC
- Judy'S Compassionate Care LLC
- Karen Ann Kennedy
- Kessler Psychological Services, LLC.
- Nicole Kilkenny
- Brooke Kling
- Martha Jean Klipec
- Knop Chiropractic Inc
- William Leroy Knop III
All providers in Hartville, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.