Mikhael T. Abourjeily, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34005104A Issued in OH

Practice address

8655 Market Street
Mentor, OH 44060

Phone

(440) 255-6400

Fax

(440) 255-3637

NPI assigned

Dec 14, 2005

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

University of New England, College of Osteo Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mabourjeily81240@ehrdirect.uhhospitals.org

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.

• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996
  Medicare reassignment NPD
• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  Medicare reassignment NPD
• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  Medicare reassignment NPD
• Steward Emergency Physicians Ohio Inc

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1124501861
  Medicare reassignment NPD
• Ues Ahuja LLC

  • Emergency Medicine Physician
  • Beachwood, OH
  • NPI 1467883934
  Medicare reassignment NPD
• University Hospitals Cleveland Medical Center

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1043747454
  Medicare reassignment NPD
• Lake Hospital System, Inc

  dba Lake Health Urgent Care and Walk In Clinic

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD
• University Hospitals Cleveland Medical Center

  dba Bolwell Health Center Pharmacy

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1952488108
  NPD
• 4M Emergency Systems LLC

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1932152584
  NPD (past)
• Lake Emergency Services Inc

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1518927995
  NPD (past)
• Ohio Em-I Medical Services, Professional Association

  • Physician Assistant
  • Willoughby, OH
  • NPI 1033429808
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1982689758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 MARKET STREET",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-255-6400",
            "fax_number": "440-255-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29804 Lakeshore Blvd",
            "address_2": "Lake Health Willowick Campus Urgent Care",
            "address_purpose": "LOCATION",
            "city": "Willowick",
            "state": "OH",
            "postal_code": "44095",
            "country_code": "US",
            "telephone_number": "440-585-3322",
            "fax_number": "440-585-1962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "667 Eastland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844503",
            "country_code": "US",
            "telephone_number": "330-841-4000",
            "fax_number": "330-656-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOURJEILY",
        "first_name": "MIKHAEL",
        "middle_name": "T.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34005104A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848631",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000383091",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAID",
            "identifier": "001822820-0001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rami Abbass, M.D.
• Abdul Qotaynah O.D., Inc.
• Curtis Abercrombie, LPC
• Abilities Unlimited Services LLC
• Lora Abouhassan, PHARMD
• Matthew Abramczyk
• Richard D Abrams, MSW LSW
• Priscilla M Abreu
• Ac PT Inc (FYZICAL Therapy and Balance Center)
• Access Psycho-Social Services Inc.

• Emergency Medicine Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.
• 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.