NPIMap

Individual provider Active NPI

Mazen Jarach, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1962624924
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.088460 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-8500
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.088460 OH
Internal Medicine Physician 207R00000X 35.088460 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714

Other identifiers 1

IdentifierTypeStateIssuer
2788587MedicaidOH

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
I20071005000404 OH Practitioner - HospitalistPractitioner - Internal Medicine 1355436346 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yatish Goyal MD IncGroup PAC ID 2163323882, 3 clinicians

Practice addresses (Care Compare)

970 E Washington St
Suite 4D
Medina, OH 44256-2171

970 E Washington St
Suite 4D
Medina, OH 44256-2181
Phone (330) 725-7277

Hospital & facility affiliations

  • Bella Care Hospice Hospice, Westerville, OH, CCN 361646
  • Cleveland Clinic Hospice Hospice, Independence, OH, CCN 361554
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Brunswick Pointe Transitional Care Nursing home, Brunswick, OH, CCN 366459
  • Medina BSD Opco LLC Nursing home, Medina, OH, CCN 365774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.088460OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Yatish Goyal MD Inc Internal Medicine CurrentSince Nov 4, 2020 Accepting new patients
Medina Hospital Past Accepting new patients
Brunswick Health & Rehabilitation Center, Inc. Past Accepting new patients
Incare LLC Internal Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

11100 Euclid Ave
Cleveland Heights, OH 44106

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

970 E Washington St
Ste 4D
Medina, OH 44256
Phone (330) 253-9727

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

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

Interoperability endpoints

  • Direct secure messaging: mjarachmd@yatishgoyalmd.medentdirect.com
  • Direct secure messaging: mjarach@direct.swgeneral.com

Organizations & group practices 7

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1962624924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARACH",
        "first_name": "MAZEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.088460",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.088460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2788587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.