Nadim Al-Mubarak, MD

Individual provider Active NPI Interventional Cardiology Physician · Westlake, OH

NPI 1750358941 · NPPES record last updated Jan 15, 2021

Key facts

NPI
1750358941
Entity type
Individual (NPI type 1)
Primary specialty
Interventional Cardiology Physician 207RI0011X
License
35 08 0671 A (OH)
Practice address
29101 Health Campus Dr BLDG 2
Westlake, OH 44145-5270
Phone
(440) 835-8922
Fax
(440) 835-4788
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 08 0671 AOHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Premier Physicians Centers Inc Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35 08 0671 A OH
Interventional Cardiology Physician 207RI0011X 35 08 0671 A OH Yes

Addresses

Primary practice location

29101 Health Campus Dr BLDG 2
Westlake, OH 44145-5270

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 835-8922

Other identifiers

IdentifierTypeStateIssuer
2300567MedicaidOH

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nadimalmubarak@uhps.allscriptsdirect.net

Other providers in Westlake, OH

All providers in Westlake, OH · Interventional Cardiology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.