NPIMap

Organization Active NPI

The Gastroenterology Clinic & Endoscopy Center Inc

  • Gastroenterology Physician
  • Warren, OH
National Provider Identifier
1952497117
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35058015 Issued in OH
Legal business name
THE GASTROENTEROLOGY CLINIC & ENDOSCOPY CENTER INC
Practice address
1622 E Market St
Warren, OH 44483-6613
Phone
(330) 399-7215
Fax
(330) 399-2411
NPI assigned
Oct 5, 2006
Last updated
May 6, 2021By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Adel I Youssef, M.D.NPI 1891788477
Title
Doctor
Phone
(330) 399-7215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 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 identifiers 1

IdentifierTypeStateIssuer
0382643MedicaidOH

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000211 OH Part B Supplier - Clinic/Group Practice 3274429477 Receives reassigned benefits from 77 practitioners
Practice locations: Columbiana, OH; North Lima, OH; Warren, OH; Youngstown, OH
O20200324003556 PA Part B Supplier - Clinic/Group Practice 3274429477 Receives reassigned benefits from 21 practitioners
Practice locations: Hermitage, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0877438Gastroenterology Clinic & Endoscopy1622 E Market Street, Warren, OH 44483ComplianceJun 12, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1952497117",
    "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": [],
    "basic": {
        "organization_name": "THE GASTROENTEROLOGY CLINIC & ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-05-06",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "330-399-7215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35058015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.