Individual provider Active NPI

Enaam N Muntaser, FNP

  • Family Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1881338713
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP0028491 Issued in OH
Practice address
25200 Center Ridge Rd
Westlake, OH 44145-4141
Phone
(440) 333-2246
NPI assigned
Apr 26, 2022
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP0028491 OH Primary

Addresses

Primary practice location

25200 Center Ridge Rd
Westlake, OH 44145-4141

Mailing address

25200 Center Ridge Rd Ste 2500
Westlake, OH 44145-4142
Phone (440) 333-2246

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831002333 OH Practitioner - Nurse Practitioner 1456735075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physicians Centers IncGroup PAC ID 0345153326, 50 clinicians

Practice addresses (Care Compare)

1730 W 25TH St
Cleveland, OH 44113-3108
Phone (216) 522-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP0028491OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Centers Inc CurrentSince Jun 1, 2022 Accepting new patients
Premier Physicians Centers, Inc. CurrentSince Jun 1, 2022 Accepting new patients

Locations

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

1730 W 25th St
Ste 1000
Cleveland, OH 44113
Phone (216) 363-2353

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

25200 Center Ridge Rd
Westlake, OH 44145
Phone (216) 296-0458

25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053

25200 Center Ridge Rd
Ste 2500
Westlake, OH 44145
Phone (440) 895-5076

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1881338713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 CENTER RIDGE RD STE 2500",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454142",
            "telephone_number": "440-333-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454141",
            "telephone_number": "440-333-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTASER",
        "first_name": "ENAAM",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP0028491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.