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DR. BABAK TOUSI M.D.
NPI 1720074495
Internal Medicine - Geriatric Medicine in Cleveland, OH

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
1730 W 25TH ST, SUITE 2A, CLEVELAND, OH 44113(216) 363-2319(216) 363-2356 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Babak Tousi M.d. NPPES

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

DR. BABAK TOUSI M.D. (NPI 1720074495) is an individual geriatric medicine provider in Cleveland, Ohio, licensed in Ohio (35083489) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1720074495
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. BABAK TOUSICredential: M.D.
Location Address1730 W 25TH ST, SUITE 2ACleveland, OH 44113-3108
Mailing Address1730 W 25th St, Suite 2aCleveland, OH 44113-3108 · (216) 363-2319 · Fax (216) 363-2356
Phone(216) 363-2319
Fax(216) 363-2356
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 27, 2005
Last NPPES UpdateNovember 30, 2009
✔ NPI 1720074495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OH · 35083489
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1730 W 25TH ST, Cleveland, OH 44113
Open in Google Maps ↗

Other Identifiers 6

Medicare PIN4165372OH
Medicare ID-Type UnspecifiedTO4165371OH
Medicaid2580096OH
Other000000368729OH · Anthem
Medicare UPINI37231OH
Medicare PINP00759678OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.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

Dr. Babak Tousi M.d. 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 ID3173553013
PECOS Enrollment IDI20050819000419
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

2

Medicare enrollment records show Babak Tousi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran Hospital
Same address
General Acute Care Hospital
1730 W 25TH ST
Cleveland, OH 44113
  • Reassigned Medicare billing, Ohio enrollment
  • 47 clinicians in this Medicare group
NPI 1194763045 (216) 696-4300
The Cleveland Clinic Foundation
4.5 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services83 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
77 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services64 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44113 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

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.

MS. JANICE LOUISE TODD PA-C
Physician Assistant (Medical)
1730 W 25TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4300
BRUCE D LONG, M.D.
Internal Medicine (Rheumatology)
1730 W 25TH ST, 1200
CLEVELAND, OH 44113
Cuyahoga County (216) 363-2402
LUTHERAN HOSPITAL
Psychiatric Unit
1730 W 25TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4300
KATHLEEN M BAKER CNP
Nurse Practitioner
1730 W 25TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4300
MIGUEL ANGEL MELENDEZ CNP
Nurse Practitioner (Family)
1730 W 25TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 363-2292
EMMA TILOW APRN.CNP
Nurse Practitioner (Psychiatric/Mental Health)
1730 W 25TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4300
AUDRIANA MARIE DEAN PA-C
Neurological Surgery
1730 W 25TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 696-4300
ANITA MILICIA
Social Worker
1730 W 25TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 363-2122

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 Babak Tousi's NPI number?

The NPI number for Babak Tousi is 1720074495. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Babak Tousi located?

Babak Tousi practices at 1730 W 25th St Suite 2A, Cleveland, OH 44113. The listed phone number is (216) 363-2319.

What is Babak Tousi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Babak Tousi enrolled in Medicare?

Yes. Babak Tousi 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 Babak Tousi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Babak Tousi reassigns Medicare benefits to 2 organizations: Lutheran Hospital (Cleveland, OH) and The Cleveland Clinic Foundation (Cleveland, OH). 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 Babak Tousi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Babak Tousi accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Babak Tousi 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 Babak Tousi affiliated with any hospitals?

According to CMS data, Babak Tousi is affiliated with Akron General Medical Center, Fairview Hospital, Cleveland Clinic, Hillcrest Hospital and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Babak Tousi was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.