Active NPI
Rami Musallam, MD
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1740954510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.251578
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57.251578 | Other | OH | STATE MEDICAL BOARD OF OHIO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816000106 | VA | Order and Referring Only - Pediatric Medicine | 4789122169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.251578 | OH | MD | Internal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.