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MINERVA MEDICAL CENTER
NPI 1689665044
Internal Medicine in Minerva, OH

Active since November 03, 2005CLIA 36D1025184 · Waiver
200 CAROLYN CT, MINERVA, OH 44657(330) 868-4184(330) 488-2907 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Minerva Medical Center NPPES

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

MINERVA MEDICAL CENTER (NPI 1689665044) is a healthcare organization registered as an internal medicine in Minerva, Ohio and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Amin Youssef Khalil, President, as its authorized official.

NPPES Registry Identity

NPI1689665044
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHARTVILLE INTERNAL MEDICINE PA
Location Address200 CAROLYN CTMinerva, OH 44657-8758
Mailing Address200 Carolyn CtMinerva, OH 44657-8758 · (330) 868-4184 · Fax (330) 488-2907
Phone(330) 868-4184
Fax(330) 488-2907
Organization SubpartYes
Authorized OfficialAmin Youssef KhalilPresident · (330) 877-9388
Enumeration DateNovember 3, 2005
Last NPPES UpdateMay 2, 2012
✔ NPI 1689665044 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.
200 CAROLYN CT, Minerva, OH 44657
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Other Names 1

Doing Business AsMinerva Medical Center

Other Identifiers 6

Other=========0001OH · Medical Mutual
Medicaid2535742OH
Other=========01OH · Bwc
Medicare PINCH9840OH
Medicare PINMI9318532OH
Other000000342549OH · Anthem

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 36D1025184

Minerva Medical Center · Minerva, OH
Active · expires Apr 30, 2028
CLIA Number36D1025184
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorAmin Y. Khalil
Laboratory Phone(330) 488-0767
Laboratory LocationMinerva Medical Center200 Carolyn Court, Minerva, OH 44657
CLIA data matches this NPI record on: Address 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 Hartville Internal Medicine PA's NPI number?

The NPI number for Hartville Internal Medicine PA is 1689665044. It was assigned to this organization in the NPPES registry on November 3, 2005. The provider is doing business as Minerva Medical Center.

Where is Hartville Internal Medicine PA located?

Hartville Internal Medicine PA is located at 200 Carolyn Ct, Minerva, OH 44657. The listed phone number is (330) 868-4184.

What is Hartville Internal Medicine PA's specialty?

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

Does Hartville Internal Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1025184) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hartville Internal Medicine PA accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield 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.