Organization Active NPI

Medical Arts Internists, Inc.

  • Specialist
  • Mansfield, OH
National Provider Identifier
1962697292
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35038896B Issued in OH
Legal business name
MEDICAL ARTS INTERNISTS, INC.
Practice address
480 Glessner Ave
Mansfield, OH 44903-2056
Phone
(419) 522-3372
Fax
(419) 526-1303
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Fereidoun Behi, MDNPI 1902861347
Title
President
Phone
(419) 522-3372

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 35038896B OH Primary

Addresses

Primary practice location

480 Glessner Ave
Mansfield, OH 44903-2056

Mailing address

480 Glessner Ave
Mansfield, OH 44903-2056
Phone (419) 522-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922001222 OH Part B Supplier - Clinic/Group Practice 3072547686 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, OH

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
36D0344512Medical Arts Internists Inc480 Glessner Avenue, Mansfield, OH 44903Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Locations

480 Glessner Ave
Ste 3
Mansfield, OH 44903
Phone (419) 522-3372

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1962697292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032056",
            "telephone_number": "419-522-3372",
            "fax_number": "419-526-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032056",
            "telephone_number": "419-522-3372",
            "fax_number": "419-526-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS INTERNISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "BEHI",
        "authorized_official_first_name": "FEREIDOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-522-3372",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35038896B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.