NPIMap

Individual provider Active NPI

Maged Farouk Fouad, M.D.

  • Pain Medicine Physician
  • Warren, OH
National Provider Identifier
1922262641
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.092644 Issued in OH
Practice address
1934 Niles Cortland Rd NE Ste B
Warren, OH 44484
Phone
(330) 841-4032
Fax
(330) 841-4381
NPI assigned
Jul 11, 2008
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35-092644 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.092644 OH
Pain Medicine Physician 208VP0000X 35.092644 OH Primary
Interventional Pain Medicine Physician 208VP0014X 35.092644 OH

Addresses

Primary practice location

1934 Niles Cortland Rd NE Ste B
Warren, OH 44484

Mailing address

1934 Niles Cortland Rd NE Ste B
Warren, OH 44484-1055
Phone (330) 841-4032

Other practice location 1

905 Sahara Trl
Poland, OH 44514-3687
Phone (330) 729-8972

Other identifiers 1

IdentifierTypeStateIssuer
2992936MedicaidOH

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
I20100323000575 OH Practitioner - Pain ManagementPractitioner - Anesthesiology 9032244520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

80 Marwood Cir
Boardman, OH 44512-6249
Phone (330) 729-8972

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-092644OHMDAnesthesiology Physician
35.092644OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC CurrentSince Jan 8, 2018 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jan 8, 2018 Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients

Locations

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

1934 Niles Cortland Rd NE
Ste B
Warren, OH 44484
Phone (330) 841-4032

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

80 Marwood Cir
Youngstown, OH 44512
Phone (330) 729-8972

905 Sahara Trl
Youngstown, OH 44514
Phone (330) 726-0100

Interoperability endpoints

  • Direct secure messaging: mfouad368974@direct.bsmhealth.org

Organizations & group practices 5

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 5

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1922262641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 NILES CORTLAND RD NE STE B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841055",
            "telephone_number": "330-841-4032",
            "fax_number": "330-841-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 NILES CORTLAND RD NE STE B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-841-4032",
            "fax_number": "330-841-4381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Sahara Trl",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445143687",
            "country_code": "US",
            "telephone_number": "330-729-8972",
            "fax_number": "330-729-8973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUAD",
        "first_name": "MAGED",
        "middle_name": "FAROUK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35-092644",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.092644",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.092644",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35.092644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2992936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.