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YOUSUF SOHAIL MD
NPI 1396240248
Internal Medicine in Marietta, OH

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
401 MATTHEW ST, MARIETTA, OH 45750(740) 374-7700 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2021, Sep 20, 2021, Mar 23, 2018 (3 updates tracked since 2018).

About Yousuf Sohail Md NPPES

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

YOUSUF SOHAIL MD (NPI 1396240248) is an individual internal medicine provider in Marietta, Ohio, licensed in Ohio (35.143392) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396240248
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameYOUSUF SOHAILCredential: MD
Location Address401 MATTHEW STMarietta, OH 45750-1635
Mailing Address4 Sarah St NwRome, GA 30165-2592 · (678) 521-2300 · Fax (844) 863-6774
Phone(740) 374-7700
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 23, 2018
Last NPPES UpdateAugust 20, 20253 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1396240248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.143392✔ Licensed in WV · 30944
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 30944 (WV), 35.143392 (OH)
401 MATTHEW ST, Marietta, OH 45750
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 374-7700
Location 2314 S Wells StSistersville, WV 26175-1098 · Phone (304) 652-2611 · Fax (304) 652-1448

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Yousuf Sohail Md 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 ID4385994169
PECOS Enrollment IDI20211018002693, I20240523004253
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

10

Medicare enrollment records show Yousuf Sohail reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marietta Memorial Hospital
Same address
General Acute Care Hospital
401 MATTHEW ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group
NPI 1215936927 (740) 374-1413
Selby General Hospital
1.3 mi
Critical Access
1106 COLEGATE DR
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 247 clinicians in this Medicare group
NPI 1124073465 (740) 568-2040
Mhc Physicians Inc
2.1 mi
Internal Medicine
424 HIGHLAND AVE
Williamstown, WV 26187
  • Reassigned Medicare billing, West Virginia enrollment
  • 49 clinicians in this Medicare group
NPI 1073600219 (740) 568-4190
Marietta Memorial Hospital Of Tyler County Inc
27 mi
Critical Access
314 S WELLS ST
Sistersville, WV 26175
  • Reassigned Medicare billing, West Virginia enrollment
  • 42 clinicians in this Medicare group
NPI 1811595192 (304) 652-2611
Hospitalist Medicine Physicians Of West Virginia, PLLC
59 mi
Internal Medicine
2000 EOFF ST
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 193 clinicians in this Medicare group
NPI 1649575101 (304) 234-0123
Hospital Medicine Services Of Ohio, Inc.
107 mi
Hospitalist
651 W MARION RD
Mount Gilead, OH 43338
  • Reassigned Medicare billing, Ohio enrollment
  • 89 clinicians in this Medicare group
NPI 1073781597 (419) 946-5015
Mvhe Inc
123 mi
Family Medicine
4940 COTTONVILLE RD, SUITE 100
Jamestown, OH 45335
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1982657318 (937) 675-6830
Sinclair Physician Services, LLC
147 mi
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
NPI 1063289601 (937) 208-8000
Upper Valley Professional Corporation
151 mi
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
NPI 1407872518 (937) 440-7497
Hisey Physician Services, LLC
152 mi
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
NPI 1073380614 (513) 974-2111

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 7

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.

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.
509 services233 patients
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.
239 services233 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.
187 services182 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.
52 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
26 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

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.

CONSTANCE J OATES FNP
Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
JANELLE A THOMAS MD
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Washington County (740) 374-1400
LEXIE MULLEN MS, CCC-SLP
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1422
DR. DIANA WHEELER DO
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-7700
JULIAN ADAM JOHN JAKUBOWSKI DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
GEOFFREY SIROCKMAN DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 568-5669
PUSHPA UPRETY FNP
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1494
DR. DISHA SHAH MD
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1400

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 Yousuf Sohail's NPI number?

The NPI number for Yousuf Sohail is 1396240248. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Yousuf Sohail located?

Yousuf Sohail practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 374-7700.

What is Yousuf Sohail's specialty?

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

Is Yousuf Sohail enrolled in Medicare?

Yes. Yousuf Sohail 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 Yousuf Sohail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yousuf Sohail reassigns Medicare benefits to 10 organizations: Marietta Memorial Hospital (Marietta, OH), Selby General Hospital (Marietta, OH), Mhc Physicians Inc (Williamstown, WV), Marietta Memorial Hospital Of Tyler County Inc (Sistersville, WV), Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV) and 5 more organizations, listed in the Medicare section above. 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 Yousuf Sohail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yousuf Sohail accept?

Health plans from CareSource list Yousuf Sohail 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 Yousuf Sohail affiliated with any hospitals?

According to CMS data, Yousuf Sohail is affiliated with Marietta Memorial Hospital and Selby General Hospital.

When was this NPI record last updated?

The NPPES record for Yousuf Sohail was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.