Individual provider Active NPI

Marwa El-Bohy, M.D.

  • Allergy & Immunology Physician
  • Maumee, OH
National Provider Identifier
1013321256
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35137504 Issued in OH
Practice address
6005 Monclova Rd Ste 230
Maumee, OH 43537-1800
Phone
(419) 893-7211
Fax
(419) 893-8882
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301105313 MI
Pediatrics Physician 208000000X 35137504 OH
Pediatric Allergy/Immunology Physician 2080P0201X 4301105313 MI
Pediatric Allergy/Immunology Physician 2080P0201X 35137504 OH
Allergy & Immunology Physician 207K00000X 35137504 OH Primary

Addresses

Primary practice location

6005 Monclova Rd Ste 230
Maumee, OH 43537-1800

Mailing address

6005 Monclova Rd Ste 230
Maumee, OH 43537-1800
Phone (419) 893-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221116002174 MI Practitioner - Pediatric Medicine 2163649559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University PediatriciansGroup PAC ID 9638070568, 121 clinicians

Practice addresses (Care Compare)

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870

Hospital & facility affiliations

  • Children'S Hospital of Michigan Hospital, Detroit, MI, CCN 233300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105313MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Nov 1, 2022 Accepting new patients
University Pediatricians Pediatrics CurrentSince Nov 1, 2022 Accepting new patients
University Physician Group Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3950 Beaubien St
Fl 4
Detroit, MI 48201
Phone (313) 832-9220

3950 Beaubien St
#3
Detroit, MI 48201

3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1013321256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 MONCLOVA RD STE 230",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371800",
            "telephone_number": "419-893-7211",
            "fax_number": "419-893-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 MONCLOVA RD STE 230",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371800",
            "telephone_number": "419-893-7211",
            "fax_number": "419-893-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-BOHY",
        "first_name": "MARWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301105313",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35137504",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "MI",
            "license": "4301105313",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "OH",
            "license": "35137504",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35137504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.