Imad M Hariri, M.D.
Individual provider Active NPI Advanced Heart Failure and Transplant Cardiology Physician · Toledo, OH
NPI 1710249917 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1710249917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X
- License
- 35.124479 (OH)
- Practice address
- 2940 N McCord Rd
Toledo, OH 43615-1753 - Phone
- (419) 842-3000
- Fax
- (419) 842-3047
- NPI assigned
- Jun 13, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Toledo Hospital
Bay Park Community Hospital
Promedica Northwest Ohio Cardiology Consultants LLC
Mercy Memorial Hospital Corporation
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7900
2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000
770 Riverside Ave
Suite 106
Adrian, MI 49221-1465
Phone (517) 266-0525
905 N Macomb St
Suite 2
Monroe, MI 48162-3084
Phone (734) 242-1899
Hospital & facility affiliations
- Promedica Toledo Hospital
- Bay Park Community Hospital
- Promedica Monroe Regional Hospital
- Memorial Hospital
- Promedica Charles and Virginia Hickman Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, MI
- 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 |
|---|---|---|---|---|
| I20150304002181 | OH | Practitioner - Internal Medicine | 5395061626 | Reassigns benefits to 6 organizations |
| I20190329000618 | MI | Practitioner - Internal Medicine |
5395061626 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301117049 | MI | MD | Internal Medicine Physician |
| 35.124479 | OH | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Toledo Urgent Cares, LLC. | Current |
Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Promedica Northwest Ohio Cardiology Consultants, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Promedica Northwest Ohio Cardiology Consultants, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Bay Park Community Hospital | Current |
Accepting new patients | |
| Mercy Memorial Hospital Corporatio | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporation | Current |
Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Greater Toledo Urgent Cares, LLC. | Current |
Accepting new patients | |
| Mercy Memorial Hospital Corporation | Current |
Accepting new patients | |
| Henry Ford Health System | Advanced Heart Failure and Transplant Cardiology | Current |
Accepting new patients |
| Promedica Central Physicians | Internal Medicine | Current |
Accepting new patients |
| The Toledo Hospital | Current |
Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| The Toledo Hospital | Current |
Accepting new patients | |
| Promedica Central Physicians | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations (25 of 27)
770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
730 N Macomb St
Ste 429
Monroe, MI 48162
Phone (313) 242-7060
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
730 N Macomb St
Ste 228
Monroe, MI 48162
Phone (734) 242-7060
905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
1037 Conneaut Ave
Ste 202
Bowling Green, OH 43402
Phone (419) 354-0104
501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734
715 S Taft Ave
Ste 1
Fremont, OH 43420
715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321
1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045
2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652
2751 Bay Park Dr
Ste 305
Oregon, OH 43616
Phone (419) 690-7689
615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
2109 Hughes Dr
Toledo, OH 43606
Phone (419) 291-0159
333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000
4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270
3000 Arlington Ave
#1150
Toledo, OH 43614
Phone (419) 383-4480
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2627 Tremainsville Rd
Toledo, OH 43613
Phone (419) 214-0790
Interoperability endpoints
- ihariri24966@direct.promedica.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.124479 | OH | |
| Internal Medicine Physician | 207R00000X | 4301117049 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 35.124479 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 35.124479 | OH | Yes |
Addresses
Primary practice location
2940 N McCord Rd
Toledo, OH 43615-1753
Mailing address
333 N Summit St FL 7
Toledo, OH 43604-1531
Phone (419) 842-3000
Other practice location 1
730 N Macomb St Ste 228
Monroe, MI 48162-3087
Phone (734) 242-7060
Other practice location 2
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117782 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ihariri24966@epicdirect.promedica.org |
Other providers in Toledo, OH
- Juana Hardnett
- Amanda Hardy
- Frederick J Hardy
- Harriet Lavearn Hardy
- Quintina Hardy
- Kyara J Harkelroad
- Jameshia N Harkness
- Danielle Harloff
- Caitlin Harman
- Talli Harman
All providers in Toledo, OH · Advanced Heart Failure and Transplant Cardiology 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 Nov 3, 2023. 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.