Individual provider Active NPI

Nabil B Migally, MD PHD

  • Internal Medicine Physician
  • Huber Heights, OH
National Provider Identifier
1003802695
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35058434M Issued in OH
Practice address
5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6137
Phone
(937) 233-0748
Fax
(937) 233-6086
NPI assigned
Sep 20, 2005
Last updated
Oct 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35058434M OH Primary

Addresses

Primary practice location

5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6137

Mailing address

5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6137
Phone (937) 233-0748

Other identifiers 8

IdentifierTypeStateIssuer
000000269197OtherOHANTHEM PIN-H
000000011383OtherOHANTHEM PIN-L
0685048OtherOHPTAN
000000011382OtherOHANTHEM PIN-C
0685041OtherOHPTAN
0690832OtherOHPTAN
0685049OtherOHPTAN
0685045OtherOHPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000546 OH Practitioner - Internal Medicine 2769656545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35058434MOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bends, LLC PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1003802695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE",
            "address_2": "SUITE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246137",
            "telephone_number": "937-233-0748",
            "fax_number": "937-233-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE",
            "address_2": "SUITE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246137",
            "telephone_number": "937-233-0748",
            "fax_number": "937-233-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGALLY",
        "first_name": "NABIL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058434M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN-H",
            "identifier": "000000269197",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN-L",
            "identifier": "000000011383",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0685048",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN-C",
            "identifier": "000000011382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0685041",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0690832",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0685049",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0685045",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.