Active NPI 1598774762 Individual Practitioner Male Practitioner

Dr. Haitham J Kousa , MD

Internal Medicine • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Dr. Haitham Kousa, MD is a registered healthcare professional specializing in Internal Medicine in Mentor, OH. Practice services are available at 9485 MENTOR AVE STE 104 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9485 Mentor Ave Ste 104

Mentor, OH 440608722

Telephone 4402055770

Fax 4402057202

Associated Practice Facility / Clinic

🏢 Lake County Internal Medicine, Inc. Facility NPI 1922799378

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mentor, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.4 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Mentor, OH (5516 Statewide)

Telehealth Adoption Rate

35.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	28	$220.00	$120.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	64	$220.00	$121.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	86	$220.00	$123.94
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$140.00	$87.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	569	106	$220.00	$126.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	12	$110.00	$51.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	660	124	$220.00	$105.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	698	136	$219.83	$101.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	17	$277.93	$138.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	834	164	$141.14	$97.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	16	$209.98	$129.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	917	185	$118.48	$95.42

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 60918

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0919911 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2016

Registered at 9485 MENTOR AVE STE 104, MENTOR, OH 440608722 (Tel: 4402055770)

📍

Updated Business Mailing Address October 15, 2016

Registered at 9485 MENTOR AVE, SUITE 104, MENTOR, OH 440604597 (Tel: 4402055770)

👤

Provider Name / Credentials Updated October 15, 2016

Recorded as HAITHAM KOUSA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2016

Internal Medicine (License #60918 in OH)

🟢

Initial NPI Registration & Enumeration August 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598774762

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 06, 2006

Last Update: October 15, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

9485 Mentor Ave, Suite 104

Mentor, OH 440604597

Phone: 4402055770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.