Individual provider Active NPI

Rami Musallam, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1740954510
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.251578 Issued in OH
Practice address
St. Vincent Charity Medical Center
2351 East 22ND Street, Suite 338W
Cleveland, OH 44115
Phone
(216) 861-6200
Fax
(216) 363-7490
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.251578 OH Primary

Addresses

Primary practice location

St. Vincent Charity Medical Center
2351 East 22ND Street, Suite 338W
Cleveland, OH 44115

Mailing address

St. Vincent Charity Medical Center
2351 East 22ND Street, Suite 338W
Cleveland, OH 44115
Phone (216) 861-6200

Other identifiers 1

IdentifierTypeStateIssuer
57.251578OtherOHSTATE MEDICAL BOARD OF OHIO

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL rami.musallam@stvincentcharity.com
Other URL rami.musallam@stvincentcharity.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240816000106 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4789122169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.251578OHMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1740954510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. VINCENT CHARITY MEDICAL CENTER",
            "address_2": "2351 EAST 22ND STREET, SUITE 338W",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-861-6200",
            "fax_number": "216-363-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. VINCENT CHARITY MEDICAL CENTER",
            "address_2": "2351 EAST 22ND STREET, SUITE 338W",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-861-6200",
            "fax_number": "216-363-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSALLAM",
        "first_name": "RAMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.251578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD OF OHIO",
            "identifier": "57.251578",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rami.musallam@stvincentcharity.com",
            "affiliation": "N",
            "address_1": "ST. VINCENT CHARITY MEDICAL CENTER",
            "address_2": "2351 EAST 22nd STREET, SUITE 338W",
            "city": "CLEVELAND",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rami.musallam@stvincentcharity.com",
            "affiliation": "N",
            "address_1": "ST. VINCENT CHARITY MEDICAL CENTER",
            "address_2": "2351 EAST 22nd STREET, SUITE 338W",
            "city": "CLEVELAND",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.