Individual provider Active NPI

Mirza Moazzam-Ali Baig, M.D.

  • Urology Physician
  • Toledo, OH
National Provider Identifier
1003943879
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
089299 Issued in OH
Practice address
3355 Meijer Dr
Toledo, OH 43617-3102
Phone
(419) 725-6850
Fax
(419) 725-6853
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 089299 OH Primary

Addresses

Primary practice location

3355 Meijer Dr
Toledo, OH 43617-3102

Mailing address

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561

Other practice location 1

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 725-6850

Other practice location 2

611 Fulton St Ste A
Port Clinton, OH 43452-2008
Phone (419) 725-6850

Other identifiers 1

IdentifierTypeStateIssuer
2725975MedicaidOH

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
I20070626000594 OH Practitioner - Urology 7911006317 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians North Specialty Care LLC 345 clinicians
Toledo Clinic Incorporated 204 clinicians

Practice addresses (Care Compare)

2213 Cherry St
Suite 200
Toledo, OH 43608-2603
Phone (419) 251-4283

3355 Meijer Dr
Toledo, OH 43617-3102
Phone (419) 725-6850

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
  • Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
089299OHMDUrology Physician

Practice roles (14 of 21)

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 1, 2017 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 1, 2017 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jan 1, 2014 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jan 1, 2014 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Romius Institute of Northwest Ohio, Inc. Urology PastSince Feb 1, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720

5757 Monclova Rd
Ste 4
Maumee, OH 43537
Phone (419) 448-7959

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2213 Cherry St
Ste 200
Toledo, OH 43608
Phone (419) 251-4283

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3355 Meijer Dr
Toledo, OH 43617
Phone (419) 725-6850

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

3020 N McCord Rd
Ste 100
Toledo, OH 43615
Phone (419) 251-8013

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Networks

  • KY PPO C-SNP
  • OH PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • KY PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Interoperability endpoints

  • Direct secure messaging: mbaig58722@direct.bsmhealth.org
  • Direct secure messaging: mirza.baig@toledoclinic.eclinicaldirectplus.com

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1003943879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-473-3561",
            "fax_number": "419-479-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MEIJER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173102",
            "telephone_number": "419-725-6850",
            "fax_number": "419-725-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234299",
            "country_code": "US",
            "telephone_number": "419-725-6850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Fulton St Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522008",
            "country_code": "US",
            "telephone_number": "419-725-6850",
            "fax_number": "419-725-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIG",
        "first_name": "MIRZA",
        "middle_name": "MOAZZAM-ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "089299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2725975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.