Rudolph Hamad, CAA
Individual provider Active NPI Anesthesiologist Assistant · Maumee, OH
NPI 1710092259 · NPPES record last updated May 29, 2020
Key facts
- NPI
- 1710092259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 67.000363 (OH)
- Practice address
- 5959 Monclova Rd
Maumee, OH 43537-1888 - Phone
- (419) 897-5501
- Fax
- (419) 897-5502
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- A4 of Ohio LLC
Practice addresses (Care Compare)
5959 Monclova Rd
Maumee, OH 43537-1888
Phone (419) 893-5911
Hospital & facility affiliations
- Promedica Toledo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.63 of 100
- Quality
- 23.09
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200113000412 | OH | Practitioner - Anesthesiology Assistant | 1557349891 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A4 of Ohio, LLC | Anesthesiologist Assistant | Current |
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 | |
| Providence Health Services, Inc | Anesthesiologist Assistant | Past | Accepting new patients |
| Anesthesia Healthcare Partners, Inc. | 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 (202) 425-0000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA000003 | DC | |
| Anesthesiologist Assistant | 367H00000X | 67.000363 | OH | Yes |
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
Other providers in Maumee, OH
- Kaley Hall
- Kelcee Jae Hall
- Tava Hall
- Caleb John Hallauer
- Raiza Ham
- Theresa Lynn Hamlet
- Christina Ashley Hammerling
- Taylor Renee Hammond
- Barbara Jean Hamner
- Beverly Hampton
All providers in Maumee, OH · Anesthesiologist Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2020. 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.
- 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.