Individual provider Active NPI

Ashraf Elguizaoui, MD

  • Internal Medicine Physician
  • Boardman, OH
National Provider Identifier
1821007634
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35076150E Issued in OH
Practice address
7206 Market St Ste a
Boardman, OH 44512-4562
Phone
(330) 726-3379
Fax
(330) 726-8683
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 35076150E OH Primary

Addresses

Primary practice location

7206 Market St Ste a
Boardman, OH 44512-4562

Mailing address

7206 Market St Ste a
Boardman, OH 44512-4562
Phone (330) 726-3379

Other identifiers 1

IdentifierTypeStateIssuer
2228217MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100127000642 OH Practitioner - Internal Medicine 8325180466 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076150EOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine Current Accepting new patients
Vpa PC Internal Medicine CurrentSince Nov 28, 2000 Accepting new patients
Vpa PC Internal Medicine CurrentSince Nov 28, 2000 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

3515 Massillon Rd
Ste 250
Green, OH 44685
Phone (330) 734-6015

3500 Massillon Rd
Ste 280
Green, OH 44685
Phone (330) 896-5651

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Organizations & group practices 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1821007634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 MARKET ST STE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124562",
            "telephone_number": "330-726-3379",
            "fax_number": "330-726-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 MARKET ST STE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124562",
            "telephone_number": "330-726-3379",
            "fax_number": "330-726-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGUIZAOUI",
        "first_name": "ASHRAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076150E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228217",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.