Individual provider Active NPI

Rudolph Hamad, CAA

  • Anesthesiologist Assistant
  • Maumee, OH
National Provider Identifier
1710092259
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
67.000363 Issued in OH
Practice address
5959 Monclova Rd
Maumee, OH 43537-1888
Phone
(419) 897-5501
Fax
(419) 897-5502
NPI assigned
Aug 21, 2006
Last updated
May 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA000003 DC
Anesthesiologist Assistant 367H00000X 67.000363 OH Primary

Addresses

Primary practice location

5959 Monclova Rd
Maumee, OH 43537-1888

Mailing address

3513 Spencerville Rd
Lima, OH 45805-3923
Phone (202) 299-6084

Other practice location 1

110 Irving St NW
Washington, DC 20010-2976
Phone (301) 946-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113000412 OH Practitioner - Anesthesiology Assistant 1557349891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
A4 of Ohio LLCGroup PAC ID 3971837188, 33 clinicians

Practice addresses (Care Compare)

5959 Monclova Rd
Maumee, OH 43537-1888
Phone (419) 893-5911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.63 of 100Reported as group
Quality
23.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
AA000003DCMDAnesthesiologist Assistant
67.000363OHMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A4 of Ohio, LLC Anesthesiologist Assistant CurrentSince Dec 1, 2019 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Coastal Anesthesia & Pain Relief Specialists Past Accepting new patients
Anesthesiology Consultants PC Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Past Accepting new patients
Providence Health Services, Inc Anesthesiologist Assistant Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740

3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (703) 558-1217

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 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1710092259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 SPENCERVILLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053923",
            "telephone_number": "202-299-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371888",
            "telephone_number": "419-897-5501",
            "fax_number": "419-897-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102976",
            "country_code": "US",
            "telephone_number": "301-946-5100",
            "fax_number": "301-929-0348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMAD",
        "first_name": "RUDOLPH",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "DC",
            "license": "AA000003",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.