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HARTVILLE INTERNAL MEDICINE PA
NPI 1518948702
Internal Medicine in Hartville, OH

Active since November 07, 2005
855 W MAPLE ST, SUITE 130, HARTVILLE, OH 44632(330) 877-9388(330) 488-2907 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hartville Internal Medicine Pa NPPES

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

HARTVILLE INTERNAL MEDICINE PA (NPI 1518948702) is a healthcare organization registered as an internal medicine in Hartville, Ohio and active in the NPI registry since November 2005. The organization lists Amin Youssef Khalil, President, as its authorized official.

NPPES Registry Identity

NPI1518948702
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHARTVILLE INTERNAL MEDICINE PA
Location Address855 W MAPLE ST, SUITE 130Hartville, OH 44632-9668
Mailing Address855 W Maple St, Suite 130Hartville, OH 44632-9668 · (330) 877-9388 · Fax (330) 488-2907
Phone(330) 877-9388
Fax(330) 488-2907
Organization SubpartYes
Authorized OfficialAmin Youssef KhalilPresident · (330) 877-9388
Enumeration DateNovember 7, 2005
Last NPPES UpdateMay 2, 2012
✔ NPI 1518948702 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.
855 W MAPLE ST, Hartville, OH 44632
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Other Identifiers 7

Other=========001OH · Medical Mutual
Medicare PINHA9318531OH
Other000000213674OH · Anthem
Medicaid2526476OH
Medicare PINCH9840OH
Other101425OH · Black Lung
Other=========00OH · Bwc

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 Anthem Blue Cross and Blue Shield, Molina Healthcare.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)

Hartville Internal Medicine Pa 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 Hartville Internal Medicine PA, 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 MedicareSame address

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

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 1518948702. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is Hartville Internal Medicine PA located?

Hartville Internal Medicine PA is located at 855 W Maple St Suite 130, Hartville, OH 44632. The listed phone number is (330) 877-9388.

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.

What insurance does Hartville Internal Medicine PA accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare 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.