Individual provider Active NPI

Hasan Abuamsha, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1942684477
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.132846 Issued in OH
Practice address
2322 E 22ND St Ste 201
Cleveland, OH 44115
Phone
(216) 241-8654
NPI assigned
Jul 14, 2015
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 35.132846 OH Primary

Addresses

Primary practice location

2322 E 22ND St Ste 201
Cleveland, OH 44115

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 241-8654

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directmob201@cleveland.ipsmso.com Outreach Professional Services Inc

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620002280 OH Practitioner - Internal Medicine 5698020352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.132846OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Professional Services, Inc CurrentSince Jun 23, 2018 Accepting new patients
Outreach Professional Services Inc Internal Medicine CurrentSince Jun 23, 2018 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 8, 2022 Accepting new patients
Fairview Hospital Past Accepting new patients
Cleveland Clinic Avon Hospital Past Accepting new patients

Locations

2322 E 22nd St
Ste 201
Cleveland, OH 44115
Phone (216) 241-8654

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 6

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 4

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1942684477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-241-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST STE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-241-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUAMSHA",
        "first_name": "HASAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.132846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmob201@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2322 E 22nd St Ste 201",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.