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YACOUB BAGHDY M.D.
NPI 1194135475
Internal Medicine in Boardman, OH

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment
8401 MARKET ST, BOARDMAN, OH 44512(330) 729-4298(330) 729-1897 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2019, Feb 29, 2016 (2 updates tracked since 2016).

About Yacoub Baghdy M.d. NPPES

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

YACOUB BAGHDY M.D. (NPI 1194135475) is an individual internal medicine provider in Boardman, Ohio, licensed in Ohio (35.132176) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2008).

NPPES Registry Identity

NPI1194135475
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameYACOUB BAGHDYCredential: M.D.
Location Address8401 MARKET STBoardman, OH 44512-6725
Mailing Address8401 Market StBoardman, OH 44512-6725 · (330) 729-4298 · Fax (330) 729-1897
Phone(330) 729-4298
Fax(330) 729-1897
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2008
Enumeration DateMay 7, 2014
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
✔ NPI 1194135475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.132176
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.
Also ListedHospitalistTaxonomy 208M00000X · License 35.132176 (OH)
8401 MARKET ST, Boardman, OH 44512
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Other Identifiers 1

Medicaid0243964OH

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yacoub Baghdy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345546826
PECOS Enrollment IDI20171004002570
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Yacoub Baghdy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hni Medical Services Of Ohio, LLC
66 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1356815922 (440) 542-5000
North East Ohio Group Practice LLC
66 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000
Community Hospitalist, LLC
88 mi
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
NPI 1538236872 (440) 960-4000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
113 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA HARRIMAN AUSTIN DO
Internal Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
DR. JEROME CHELLIAH MD, MPH
Obstetrics & Gynecology
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4350
SHREY PATEL DO
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-7960
BENJAMIN MINER
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-8757
DR. JEANINE AWAD-SPIRTOS M.D.
Emergency Medicine
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-2929
ANTONIUS SUSATYO HADI MD
Obstetrics & Gynecology
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4350
ROBERT KOLLER DO
Family Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
MISS AMBER HUNKUS APRN
Nurse Practitioner (Family)
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-4298

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 Yacoub Baghdy's NPI number?

The NPI number for Yacoub Baghdy is 1194135475. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Yacoub Baghdy located?

Yacoub Baghdy practices at 8401 Market St, Boardman, OH 44512. The listed phone number is (330) 729-4298.

What is Yacoub Baghdy's specialty?

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

Is Yacoub Baghdy enrolled in Medicare?

Yes. Yacoub Baghdy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yacoub Baghdy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yacoub Baghdy reassigns Medicare benefits to 3 organizations: Hni Medical Services Of Ohio, LLC (Middleburg Heights, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH) and Community Hospitalist, LLC (Lorain, OH). Each 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 Yacoub Baghdy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yacoub Baghdy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Paramount list Yacoub Baghdy 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.

Is Yacoub Baghdy affiliated with any hospitals?

According to CMS data, Yacoub Baghdy is affiliated with Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Yacoub Baghdy was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.