NPIMap

Individual provider Active NPI

Ahmed M Mosalem, M.D

  • Internal Medicine Physician
  • Waverly, OH
National Provider Identifier
1730239021
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35089908 Issued in OH
Practice address
227 Valley View Dr
Waverly, OH 45690-9135
Phone
(740) 947-7726
Fax
(740) 947-9354
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200200055 NC
Internal Medicine Physician 207R00000X 35089908 OH Primary

Addresses

Primary practice location

227 Valley View Dr
Waverly, OH 45690-9135

Mailing address

227 Valley View Dr
Waverly, OH 45690-9135
Phone (740) 947-7726

Other practice location 1

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (740) 383-8473

Other identifiers 2

IdentifierTypeStateIssuer
35089908OtherOHMEDICAL LICENSE NUMBER
2748334MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000793 OH Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Geriatric Medicine 0143313114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine, Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 520-2826

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 480-2040

8401 Market St
Boardman, OH 44512-6725
Phone (330) 480-2040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200055NCMDInternal Medicine Physician
35089908OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 22, 2021 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Sep 22, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Apr 8, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Apr 8, 2022 Accepting new patients
Hospitalist Medicine Physicians of Franklin County, LTD Internal Medicine Past Accepting new patients
Medcentral Health System Past Accepting new patients

Locations

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Interoperability endpoints

  • Direct secure messaging: amosalem206644@direct.bsmhealth.org

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 8

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1730239021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 VALLEY VIEW DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909135",
            "telephone_number": "740-947-7726",
            "fax_number": "740-947-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 VALLEY VIEW DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909135",
            "telephone_number": "740-947-7726",
            "fax_number": "740-947-9354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Glessner Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449032269",
            "country_code": "US",
            "telephone_number": "740-383-8473",
            "fax_number": "740-383-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSALEM",
        "first_name": "AHMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200200055",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35089908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "35089908",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2748334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.