EAST CANTON MEDICAL GROUP
NPI 1033174024
Internal Medicine in East Canton, OH

Q: What is Hartville Internal Medicine PA's NPI number?

The NPI number for Hartville Internal Medicine PA is 1033174024. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as East Canton Medical Group.

Q: What is Hartville Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 20, 2006CLIA Certified · 2 labs

113 CEDAR ST S, EAST CANTON, OH 44730(330) 488-0767(330) 488-2907 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About East Canton Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST CANTON MEDICAL GROUP (NPI 1033174024) is a healthcare organization registered as an internal medicine in East Canton, Ohio and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Amin Youssef Khalil, President, as its authorized official.

NPPES Registry Identity

NPI1033174024

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameHARTVILLE INTERNAL MEDICINE PA

Location Address113 CEDAR ST SEast Canton, OH 44730-1305

Mailing Address113 Cedar St S, Po Box 30170East Canton, OH 44730-1305 · (330) 488-0767 · Fax (330) 488-2907

Phone(330) 488-0767

Fax(330) 488-2907

Organization SubpartYes

Authorized OfficialAmin Youssef KhalilPresident · (330) 877-9388

Enumeration DateApril 20, 2006

Last NPPES UpdateMay 2, 2012

✔ NPI 1033174024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

113 CEDAR ST S, East Canton, OH 44730

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Other Names 1

Doing Business AsEast Canton Medical Group

Other Identifiers 3

Medicare PINHA9318533OH

Medicare PINDE3335OH

Medicaid2621201OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Canton Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOhioEnrollment IDO20041207000117Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Canton Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amin Khalil, M.D.

Internal Medicine

NPI 1700867959

855 W MAPLE ST HARTVILLE
Hartville, OH 44632

(330) 877-9388

✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1049150

East Canton Medical Group · East Canton, OH

Active · expires Dec 31, 2027

CLIA Number36D1049150

Laboratory TypePhysician Office

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorAmin Joseph Khalil

Laboratory Phone(330) 488-0767

Laboratory LocationEast Canton Medical Group113 Cedar St S, East Canton, OH 44730

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D0998516

Hartville Internal Medicine Inc · Hartville, OH

Active · expires Apr 30, 2028

CLIA Number36D0998516

Laboratory TypePhysician Office

Certificate Effective DateMay 1, 2026

Certificate Expiration DateApril 30, 2028

Laboratory DirectorAmin Y. Khalil

Laboratory Phone(330) 488-0767

Laboratory LocationHartville Internal Medicine Inc855 West Maple Street Suite 130, Hartville, OH 44632

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hartville Internal Medicine PA's NPI number?

The NPI number for Hartville Internal Medicine PA is 1033174024. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as East Canton Medical Group.

Where is Hartville Internal Medicine PA located?

Hartville Internal Medicine PA is located at 113 Cedar St S, East Canton, OH 44730. The listed phone number is (330) 488-0767.

What is Hartville Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hartville Internal Medicine PA enrolled in Medicare?

Yes. Hartville Internal Medicine PA is registered in the Medicare PECOS enrollment system.

When is Hartville Internal Medicine PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hartville Internal Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Hartville Internal Medicine PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hartville Internal Medicine PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Hartville Internal Medicine PA accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Hartville Internal Medicine PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hartville Internal Medicine PA was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.