Active NPI
Abdullah Said Jallad
- Peer Specialist
- Cleveland, OH
National Provider Identifier
1740061365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.004418
- Practice address
- 2800 Euclid Ave Ste 200
Cleveland, OH 44115-2418 - Phone
- (216) 456-9630
- NPI assigned
- Oct 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.004418 | OH | Primary |
Addresses
Primary practice location
2800 Euclid Ave Ste 200
Cleveland, OH 44115-2418
Mailing address
4124 Terraceview S Apt 7
Toledo, OH 43607-1071
Phone (419) 392-7914
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ustogether.us | Health Information Exchange (HIE) | US Together, INC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.004418 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Together, Inc. | Peer Specialist | Current | Accepting new patients |
| US Together, Inc. | Peer Specialist | Past | Accepting new patients |
Locations
2800 Euclid Ave
Ste 200
Cleveland, OH 44115
Phone (216) 396-3466
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1740061365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 TERRACEVIEW S APT 7",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436071071",
"telephone_number": "419-392-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 EUCLID AVE STE 200",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152418",
"telephone_number": "216-456-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALLAD",
"first_name": "ABDULLAH",
"middle_name": "SAID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.004418",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ustogether.us",
"affiliation": "Y",
"endpointDescription": "website",
"affiliationName": "US Together, INC.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2800 Euclid Ave Ste 200",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441152418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.