MOHAMED B. MAMLOUK MD – NPI #1306805304
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

MOHAMED MAMLOUK is a physician located in FAIRVIEW PARK, OH. NPPES has assigned the NPI number 1306805304 to MOHAMED MAMLOUK on March 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 11 years ago on Feb 13, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAMED MAMLOUK below.

NPI Profile for
MOHAMED B. MAMLOUK

NPI Number
1306805304
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOHAMED B. MAMLOUK
Credentials
MD
Primary location
20455 LORAIN RD STE 104B
FAIRVIEW PARK, OH 44126-3529
Phone: (440) 356-2715 Fax: (440) 356-6978
Mailing address
30701 LORAIN RD STE A
NORTH OLMSTED, OH 44070-6325
Phone: (440) 274-5035 Fax: (440) 716-8608
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for MOHAMED MAMLOUK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAOH4007588
OTHERANTHEMOH000000130207
OTHERFEDERAL BLACK LUNGOH264168
OTHERQUALCHOICEOH18958
OTHERSUMMACAREOH341313510BM
OTHERUNITED HEALTHCAREOH2597481
MEDICAIDOH0366698
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
OH 35-038540

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.