DR. MOHAMED BASHAR MAMLOUK MD
NPI 1306805304
Internal Medicine - Cardiovascular Disease in Fairview Park, OH

Active since March 20, 2006PECOS Enrolled
20455 LORAIN RD STE 104B, FAIRVIEW PARK, OH 44126(440) 356-2715(440) 356-6978 Get Directions Write a Review

NPPES record last updated: February 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mohamed Bashar Mamlouk Md NPPES

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

DR. MOHAMED BASHAR MAMLOUK MD (NPI 1306805304) is an individual cardiovascular disease provider in Fairview Park, Ohio, licensed in Ohio (35-038540) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306805304
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MOHAMED BASHAR MAMLOUKCredential: MD
Location Address20455 LORAIN RD STE 104BFairview Park, OH 44126-3529
Mailing Address30701 Lorain Rd Ste ANorth Olmsted, OH 44070-6325 · (440) 274-5035 · Fax (440) 716-8608
Fax(440) 356-6978
Sole ProprietorYes
Enumeration DateMarch 20, 2006
Last NPPES UpdateFebruary 13, 2015
NPI 1306805304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OH · 35-038540
Definition
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.
20455 LORAIN RD STE 104B, Fairview Park, OH 44126

Other Identifiers 9

Other264168OH · Federal Black Lung
Other000000130207OH · Anthem
Other18958OH · Qualchoice
Medicaid0366698OH
Other2597481OH · United Healthcare
Medicare PIN0455541OH
Other341313510BMOH · Summacare
Other4007588OH · Aetna
Medicare UPINA77891OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mohamed Bashar Mamlouk Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44126 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 2

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

Internal Medicine
20455 LORAIN RD STE 104B
FAIRVIEW PARK, OH 44126
Internal Medicine (Cardiovascular Disease)
20455 LORAIN RD STE 104B
FAIRVIEW PARK, OH 44126

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 Mohamed Mamlouk's NPI number?

The NPI number for Mohamed Mamlouk is 1306805304. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Mohamed Mamlouk located?

Mohamed Mamlouk practices at 20455 Lorain Rd Ste 104B, Fairview Park, OH 44126. The listed phone number is (440) 356-2715.

What is Mohamed Mamlouk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mohamed Mamlouk enrolled in Medicare?

Yes. Mohamed Mamlouk is registered in the Medicare PECOS enrollment system.

What insurance does Mohamed Mamlouk accept?

Health plans from CareSource list Mohamed Mamlouk 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 Mohamed Mamlouk was last updated on February 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.