Individual provider Active NPI

Babak Tousi, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cleveland, OH
National Provider Identifier
1720074495
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35083489 Issued in OH
Practice address
1730 W 25TH St
Suite 2a
Cleveland, OH 44113-3108
Phone
(216) 363-2319
Fax
(216) 363-2356
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35083489 OH Primary

Addresses

Primary practice location

1730 W 25TH St
Suite 2a
Cleveland, OH 44113-3108

Mailing address

1730 W 25TH St
Suite 2a
Cleveland, OH 44113-3108
Phone (216) 363-2319

Other identifiers 2

IdentifierTypeStateIssuer
000000368729OtherOHANTHEM
2580096MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000419 OH Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3173553013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35083489OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Sep 28, 2011 Accepting new patients
Lutheran Hospital CurrentSince Jul 1, 2005 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Lutheran Hospital CurrentSince Jul 1, 2005 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

1730 W 25th St
Ste 2A
Cleveland, OH 44113
Phone (216) 363-2319

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
#U10
Cleveland, OH 44195
Phone (216) 636-1158

6701 Rockside Rd
Ste 260
Independence, OH 44131
Phone (216) 369-2525

1450 Belle Ave
Lakewood, OH 44107
Phone (216) 226-7776

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: btousimdfacp5242@direct.ccf.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1720074495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "address_2": "SUITE 2A",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-363-2319",
            "fax_number": "216-363-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "address_2": "SUITE 2A",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-363-2319",
            "fax_number": "216-363-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSI",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35083489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000368729",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580096",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.