Bahaa Awadalla, M.D.
Individual provider Active NPI Internal Medicine Physician · Niles, OH
NPI 1891763728 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1891763728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35075657 (OH)
- Practice address
- 1254 Youngstown Warren Rd
Suite 3 a
Niles, OH 44446-4651 - Phone
- (330) 652-3000
- Fax
- (330) 652-3008
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Youngstown, LLC
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 480-3285
Hospital & facility affiliations
- Expand Health Skilled at Home LLC
- Patriot Homecare, Inc
- Mercy Health Home Care -Youngstown
- Buckeye Hospice and Palliative Care Services
- Southern Care Youngstown
- MH St Elizabeth Youngstown Hospital
- MH St Joseph Warren Hospital
- HMHP St Elizabeth Boardman Health Center
- Surgical Hospital at Southwoods
- Autumn Hills Care Center
- Washington Square Healthcare Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040706001003 | OH | Practitioner - Internal Medicine |
2860479060 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35075657 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Internal Medicine | Current |
Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown LLC | Current |
Accepting new patients | |
| Niles Skilled Nursing, LLC | Past | Accepting new patients | |
| Harbor Operator LLC | Past | Accepting new patients | |
| Frank Paul Vargo, M.D., Inc | Internal Medicine | Past | Accepting new patients |
| Medical Associates of Warren, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
2565 Niles Vienna Rd
Niles, OH 44446
Phone (330) 652-2053
1254 Youngstown Warren Rd
Ste 3A
Niles, OH 44446
Phone (330) 652-3000
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
Interoperability endpoints
- bawadalla34962@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35075657 | OH | Yes |
Addresses
Primary practice location
1254 Youngstown Warren Rd
Suite 3 a
Niles, OH 44446-4651
Mailing address
1254 Youngstown Warren Rd
Suite 3 a
Niles, OH 44446-4651
Phone (330) 652-3000
Other names
- Dr. Bahaa Awadalla
Other providers in Niles, OH
- Associates in Foot & Ankle Care Inc
- Associates in Foot & Ankle Care Inc
- Associates in Medical Imaging, LLC
- Athena Therapy Holdings Co
- Autumn Hills Care Center, Inc.
- Lindsey Bacha
- Leila S Bahour
- Andrea Bailey
- Ann Renee Bair
- Jennifer Bair
All providers in Niles, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.