TMMG
NPI 1538353883
Internal Medicine in Youngstown, OH

Active since August 30, 2007CLIA 36D0342454 · Waiver
20 OHLTOWN RD, YOUNGSTOWN, OH 44515(330) 797-9705(330) 270-5997 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tmmg NPPES

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

TMMG (NPI 1538353883) is a healthcare organization registered as an internal medicine in Youngstown, Ohio and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Mourad Rostom, Partner/executive, as its authorized official.

NPPES Registry Identity

NPI1538353883
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRUMBULL MAHONING MEDICAL GROUP, INC.
Location Address20 OHLTOWN RDYoungstown, OH 44515-2331
Mailing Address20 Ohltown RdYoungstown, OH 44515-2331 · (330) 797-9705 · Fax (330) 270-5997
Fax(330) 270-5997
Organization SubpartYes
Authorized OfficialMourad RostomPartner/executive · (330) 372-8800
Enumeration DateAugust 30, 2007
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1538353883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
20 OHLTOWN RD, Youngstown, OH 44515

Other Names 1

Other NameTmmg

Other Identifiers 8

Other000000243183OH · Anthem Bc/bs Ohio
Medicaid0468677OH
Other=========-03OH · Ohio Workers Comp
Medicare PINCK8621OH
Other=========025OH · Medical Mutual Of Ohio
Other=========003OH · Tricare
Other1426141OH · Highmark Bc/bs Pa
Medicare PIN9330561OH

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tmmg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Tmmg, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1417981077
2600 STATE ROUTE 5
Cortland, OH 44410
(330) 372-8800
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1508892811
2600 STATE ROUTE 5
Cortland, OH 44410
(330) 372-8800
✔ PECOS✔ Accepts Medicare5.3 mi
Internal Medicine
NPI 1023042850
2600 STATE ROUTE 5
Cortland, OH 44410
(330) 372-8800
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1942722418
1350 E MARKET ST
Warren, OH 44483
(330) 841-9551
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1508528175
2600 ELM RD NE
Cortland, OH 44410
(330) 372-8810
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1902824188
2600 STATE ROUTE 5
Cortland, OH 44410
(330) 372-8800
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1073351649
1 MEMORY LN
Garrettsville, OH 44231
(330) 527-4852
✔ PECOS✔ Accepts Medicare21 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0342454

Trumbull Mahoning Medical Group II Inc · Austintown, OH
Active · expires Jun 30, 2027
CLIA Number36D0342454
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorDan N. Olson
Laboratory Phone(330) 372-8860
Laboratory LocationTrumbull Mahoning Medical Group II Inc136 Westchester Dr. Office 3, Austintown, OH 44515
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Trumbull Mahoning Medical Group, Inc.'s NPI number?

The NPI number for Trumbull Mahoning Medical Group, Inc. is 1538353883. It was assigned to this organization in the NPPES registry on August 30, 2007. The provider is also known as Tmmg.

Where is Trumbull Mahoning Medical Group, Inc. located?

Trumbull Mahoning Medical Group, Inc. is located at 20 Ohltown Rd, Youngstown, OH 44515. The listed phone number is (330) 797-9705.

What is Trumbull Mahoning Medical Group, Inc.'s specialty?

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

Is Trumbull Mahoning Medical Group, Inc. enrolled in Medicare?

Yes. Trumbull Mahoning Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trumbull Mahoning Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Trumbull Mahoning Medical Group, Inc.. 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. The largest specialties are Internal Medicine (3), Nurse Practitioner (3) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Trumbull Mahoning Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0342454) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trumbull Mahoning Medical Group, Inc. was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.