Abdullahi Isa Mubarak, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

35051593 Issued in OH

Practice address

1550 Yankee Park PL
Centerville, OH 45458-1868

Phone

(937) 439-4949

Fax

(937) 439-4948

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mark Hunter Thomas Former name

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

Specialty

Addiction MedicineAlso: Family Practice, General Practice

Education

Ohio State University College of Medicine, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Heartland Therapeutics

  • Health Service Clinic/Center
  • Dayton, OH
  • NPI 1538548391
  Medicare reassignment NPD Authorized official
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mark H. Thomas

  • Addiction Medicine (Family Medicine) Physician
  • Trotwood, OH
  • NPI 1164636841
  NPD (past)
• Mt. Auburn Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1063855294
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1861521940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581868",
            "telephone_number": "937-439-4949",
            "fax_number": "937-439-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581868",
            "telephone_number": "937-439-4949",
            "fax_number": "937-439-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBARAK",
        "first_name": "ABDULLAHI",
        "middle_name": "ISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35051593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "THOMAS",
            "middle_name": "HUNTER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vivian R Morrison
• Melodie K Morrow, MSW, LISW-S
• Mosaic Psychological Services, LLC
• Krista Erin Mowell
• Mr Prescription Inc
• Ethan Hugh Muckerheide
• Baylee Jaye Mueller
• Jared Mueller, LISW
• Desire Muhoza
• Diane Marie Murakowski, RN

• Addiction Medicine (Family Medicine) Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Addiction Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.