NPIMap

Individual provider Active NPI

Badi Altawil, MD

  • Internal Medicine Physician
  • Warren, OH
National Provider Identifier
1841281797
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.072864 Issued in OH
Practice address
4439 Mahoning Ave NW Ste a
Warren, OH 44483-1975
Phone
(330) 847-6527
Fax
(330) 847-6572
NPI assigned
Oct 31, 2005
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 35.072864 OH Primary

Addresses

Primary practice location

4439 Mahoning Ave NW Ste a
Warren, OH 44483-1975

Mailing address

4439 Mahoning Ave NW Ste a
Warren, OH 44483-1975
Phone (330) 847-6527

Other identifiers 1

IdentifierTypeStateIssuer
2137842MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000711 OH Practitioner - Internal Medicine 7911992342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

425 Robbins Ave
Niles, OH 44446-2409
Phone (330) 652-5455

4439 Mahoning Ave NW
Suite a
Warren, OH 44483-1975
Phone (330) 847-6527

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

425 Robbins Ave
Niles, OH 44446
Phone (330) 652-5455

4439 Mahoning Ave NW
Ste A
Warren, OH 44483
Phone (330) 847-5527

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECHBD/Endpoint/JECHBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1841281797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 MAHONING AVE NW STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831975",
            "telephone_number": "330-847-6527",
            "fax_number": "330-847-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 MAHONING AVE NW STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831975",
            "telephone_number": "330-847-6527",
            "fax_number": "330-847-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAWIL",
        "first_name": "BADI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.072864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.