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JMAL ALDEEN ALHAJ MBCHB
NPI 1265938278
Pediatrics in Bellefontaine, OH

Active since March 30, 2018PECOS Enrolled
118 DOWELL AVE, BELLEFONTAINE, OH 43311(937) 593-5437 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2024, Mar 30, 2018 (2 updates tracked since 2018).

About Jmal Aldeen Alhaj Mbchb NPPES

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

JMAL ALDEEN ALHAJ MBCHB (NPI 1265938278) is an individual pediatrics provider in Bellefontaine, Ohio, licensed in Ohio (35.150297) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265938278
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJMAL ALDEEN ALHAJCredential: MBCHB
Location Address118 DOWELL AVEBellefontaine, OH 43311-2305
Mailing Address205 E Palmer RdBellefontaine, OH 43311-2281 · (937) 592-4015
Phone(937) 593-5437
Sole ProprietorYes
Enumeration DateMarch 30, 2018
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1265938278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.150297
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
118 DOWELL AVE, Bellefontaine, OH 43311
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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 (PECOS)

Jmal Aldeen Alhaj Mbchb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jmal Alhaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Rutan Hospital
Same address
Rural Health
118 DOWELL AVE
Bellefontaine, OH 43311
  • Reassigned Medicare billing, Ohio enrollment
  • 131 clinicians in this Medicare group
NPI 1316785306 (937) 593-5437

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43311 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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 13

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

DR. TREVOR PAUL MAURER M.D.
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
JESSICA A. ROLFES
Nurse Practitioner (Pediatrics)
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
LINDA A COSTIN DO
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
MARY RUTAN HOSPITAL
Clinic/Center (Rural Health)
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
ALLANAH KING DO
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
JULIE DEVINE APRN-CNP
Nurse Practitioner (Pediatrics)
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
LOGAN VIEW PEDIATRICS
Pediatrics
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437
EMMA I KROCK CNP
Nurse Practitioner (Pediatrics)
118 DOWELL AVE
BELLEFONTAINE, OH 43311
Logan County (937) 593-5437

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 Jmal Alhaj's NPI number?

The NPI number for Jmal Alhaj is 1265938278. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Jmal Alhaj located?

Jmal Alhaj practices at 118 Dowell Ave, Bellefontaine, OH 43311. The listed phone number is (937) 593-5437.

What is Jmal Alhaj's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jmal Alhaj enrolled in Medicare?

Yes. Jmal Alhaj is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jmal Alhaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jmal Alhaj reassigns Medicare benefits to Mary Rutan Hospital (Bellefontaine, OH). The 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 Jmal Alhaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jmal Alhaj accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Jmal Alhaj 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 Jmal Alhaj was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.