1. Home
  2. Directory
  3. Ohio
  4. Ashtabula
  5. Internal Medicine
  6. NPI Profile

SAM MHANNA MD LLC
NPI 1710502539
Internal Medicine - Nephrology in Ashtabula, OH

Active since June 09, 2020
1111 LAKE AVE, ASHTABULA, OH 44004(440) 964-7121 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sam Mhanna Md Llc NPPES

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

SAM MHANNA MD LLC (NPI 1710502539) is a healthcare organization registered as a nephrology in Ashtabula, Ohio and active in the NPI registry since June 2020. The organization lists Houssam Mhanna, Owner, as its authorized official.

NPPES Registry Identity

NPI1710502539
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAM MHANNA MD LLC
Location Address1111 LAKE AVEAshtabula, OH 44004-2929
Mailing Address1111 Lake AveAshtabula, OH 44004-2929 · (440) 964-7121
Phone(440) 964-7121
Organization SubpartNo
Authorized OfficialHoussam MhannaOwner · (440) 964-7121
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1710502539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1111 LAKE AVE, Ashtabula, OH 44004
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Mhanna Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sam Mhanna MD LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tricia Williams, NP -C
Nurse Practitioner
NPI 1528341187
1111 LAKE AVE
Ashtabula, OH 44004
(440) 964-7121
✔ PECOS✔ Accepts MedicareSame address
Houssam Mhanna, M.D.
Internal Medicine
NPI 1508105560
2351 E 22ND ST
Cleveland, OH 44115
(216) 861-6200
✔ PECOS✔ Accepts Medicare52 mi

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 Sam Mhanna MD LLC's NPI number?

The NPI number for Sam Mhanna MD LLC is 1710502539. It was assigned to this organization in the NPPES registry on June 9, 2020.

Where is Sam Mhanna MD LLC located?

Sam Mhanna MD LLC is located at 1111 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 964-7121.

What is Sam Mhanna MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sam Mhanna MD LLC enrolled in Medicare?

Yes. Sam Mhanna MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sam Mhanna MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sam Mhanna MD LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sam Mhanna MD LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Sam Mhanna MD LLC 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 Sam Mhanna MD LLC was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.