| Ali S Almudallal, MD | |
|
770 W High St, Suite 160, Lima, OH 45801-3990 | |
| (419) 996-5224 | |
| (419) 996-5276 |
| Full Name | Ali S Almudallal |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 34 Years |
| Location | 770 W High St, Lima, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053407775 | NPI | - | NPPES |
| 2249696 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35076642 (Ohio) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 35076642 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Lima Memorial Health System | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 229 |
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Ali S Almudallal, MD Po Box 636930, Cincinnati, OH 45263-6930 Ph: () - | Ali S Almudallal, MD 770 W High St, Suite 160, Lima, OH 45801-3990 Ph: (419) 996-5224 |
David Kashan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 770 W High St Ste 300, Lima, OH 45801 Phone: 419-996-5033 Fax: 419-996-5266 | |
Dr. Richard A Nockowitz, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1800 Allentown Rd, Lima, OH 45805 Phone: 419-229-0415 Fax: 419-229-0419 | |
Dr. Eddy Severe Bruno, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 658 W Market St Ste 202, Lima, OH 45801 Phone: 419-225-8808 Fax: 419-222-7220 | |
Marietta J Medel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 350, Lima, OH 45804 Phone: 419-998-8200 Fax: 419-998-8203 | |
Josef Froehlich, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 770 W High St, Suite 300, Lima, OH 45801 Phone: 419-996-5033 Fax: 419-996-5266 | |
Patricia Bauza, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335 |