Fatuma Midamba, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

BM5763986 Issued in OH

Practice address

3619 Park East Dr
205 S.
Beachwood, OH 44122-4330

Phone

(216) 591-0942

Fax

(440) 591-0943

NPI assigned

Jan 25, 2006

Last updated

Mar 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ohiohealth Corporation

  dba OhioHealth Physician Group, Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273

  Internal Medicine

  Medicare reassignment NPD
• Fatuma Midamba MD Inc.

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1003849597
  Authorized official Same address or phone
• Ohiohealth Corporation

  dba OhioHealth Physician Group Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD
• Bellini Internal Medicine, LLC

  dba dba: Middlefield Primary Care

  • Internal Medicine Physician
  • Middlefield, OH
  • NPI 1457422909
  NPD (past)
• Clinic Regional Physicians LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1043470453
  NPD (past)
• Myton Medical Group, Inc.

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1336229590
  NPD (past)
• Robert a. Evans

  dba Middlefield Primary Care

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1982816708
  NPD (past)
• Uhhs Bedford

  • Internal Medicine Physician
  • Bedford, OH
  • NPI 1811933419
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1982674602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24160",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441240160",
            "telephone_number": "216-233-2527",
            "fax_number": "216-591-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR",
            "address_2": "205 S.",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-591-0942",
            "fax_number": "440-591-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDAMBA",
        "first_name": "FATUMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "BM5763986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0860278",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan J Michelow, M.D.
• Alexander Christopher Mickel, DMD
• Andre Kevin Mickel, DDS MSD
• Sabrina Eileen Mickel, DDS
• Hannah Mickle, APRN,FNP-C
• Korey Middlebrooks
• Paul Mikhli
• Miklat Recovery (Asurgent Health)
• Miklat Recovery (Asurgent Health)
• Sarah Taylor Milam, PA-C

• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.