Individual provider Active NPI

Adel I Youssef, M.D.

  • Specialist
  • Warren, OH
National Provider Identifier
1891788477
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35058015 Issued in OH
Practice address
1622 E Market St
Warren, OH 44483-6613
Phone
(330) 399-7215
Fax
(330) 399-2411
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35058015 OH Primary

Addresses

Primary practice location

1622 E Market St
Warren, OH 44483-6613

Mailing address

PO Box 72188
Cleveland, OH 44192-0002
Phone (330) 399-7215

Other practice location 1

949 N Hermitage Rd
Hermitage, PA 16148-3219
Phone (724) 979-8515

Other identifiers 3

IdentifierTypeStateIssuer
0731775MedicaidOH
000000139858OtherOHANTHEM PIN
341827025OtherOHTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110120000930 OH Practitioner - Gastroenterology 0345136545 Reassigns benefits to 2 organizations
I20200324003681 PA Practitioner - Gastroenterology 0345136545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Gastroenterology Clinic and Endoscopy Center IncGroup PAC ID 3274429477, 36 clinicians

Practice addresses (Care Compare)

1622 E Market St
Warren, OH 44483-6613
Phone (330) 399-7215

949 N Hermitage Rd
Hermitage Gastroenterology Group Inc
Hermitage, PA 16148-3219
Phone (330) 399-7215

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058015OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Nov 1, 1996 Accepting new patients
SCH Professional Corporation CurrentSince Apr 1, 2021 Accepting new patients
Hermitage Endoscopy Center Inc PastSince Apr 12, 2021 Accepting new patients
Gypsy Lane Endoscopy Suites, Inc. PastSince Jan 24, 2017 Accepting new patients
Warren Gastro Endoscopy Ctr Inc PastSince Nov 6, 1997 Accepting new patients
Gi Physicians Endoscopy Inc PastSince Mar 15, 2014 Accepting new patients
North East Ohio Endoscopy Center Inc PastSince Jun 21, 2023 Accepting new patients
Portage Physicians Endoscopy Inc PastSince Jun 21, 2013 Accepting new patients

Locations

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

235 E State Route 14
Columbiana, OH 44408
Phone (330) 399-7215

2094 E State St
Ste B
Salem, OH 44460
Phone (330) 332-1939

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

1220 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 726-0131

1210 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 726-0132

949 N Hermitage Rd
Hermitage, PA 16148
Phone (330) 399-7215

Interoperability endpoints

  • Direct secure messaging: dryoussef@giclinic.medentdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1891788477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72188",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "330-399-7215",
            "fax_number": "330-399-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836613",
            "telephone_number": "330-399-7215",
            "fax_number": "330-399-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "949 N Hermitage Rd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161483219",
            "country_code": "US",
            "telephone_number": "724-979-8515",
            "fax_number": "724-979-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "ADEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35058015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0731775",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000139858",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "341827025",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.