NPIMap

Individual provider Active NPI

Bahaa Awadalla, M.D.

  • Internal Medicine Physician
  • Niles, OH
National Provider Identifier
1891763728
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35075657 Issued in 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
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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 35075657 OH Primary

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 1

  • Dr. Bahaa Awadalla Former name

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
I20040706001003 OH Practitioner - Internal MedicinePractitioner - Hospitalist 2860479060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075657OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Internal Medicine CurrentSince Dec 22, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Dec 22, 2022 Accepting new patients
Niles Skilled Nursing, 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
Harbor Operator LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

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

  • Direct secure messaging: bawadalla34962@direct.bsmhealth.org

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1891763728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 YOUNGSTOWN WARREN RD",
            "address_2": "SUITE 3 A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464651",
            "telephone_number": "330-652-3000",
            "fax_number": "330-652-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 YOUNGSTOWN WARREN RD",
            "address_2": "SUITE 3 A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464651",
            "telephone_number": "330-652-3000",
            "fax_number": "330-652-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADALLA",
        "first_name": "BAHAA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35075657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAHAA",
            "last_name": "AWADALLA",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.