Ronald Aiello, DO

Individual provider Active NPI Family Medicine Physician · Youngstown, OH

NPI 1710958905 · NPPES record last updated Oct 20, 2023

Key facts

NPI
1710958905
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
34001999A (OH)
Practice address
1815 Belmont Ave
Youngstown, OH 44504-1106
Phone
(330) 740-9200
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

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 IDStateProvider typePAC IDDetails
I20180102002483 OH Order and Referring Only - Family Practice
Practitioner - Family Practice
8123200821

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34001999AOHMDFamily Medicine Physician
1999OHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34001999A OH Yes

Addresses

Primary practice location

1815 Belmont Ave
Youngstown, OH 44504-1106

Mailing address

1815 Belmont Ave
Youngstown, OH 44504-1106

Other identifiers

IdentifierTypeStateIssuer
H112912OtherOHMEDICARE PTAN
34001999AOtherOHSTATE LICENSE #
0263763MedicaidOH

Other providers in Youngstown, OH

All providers in Youngstown, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.