Bettina Isabelle Nazemi, D.O, M.P.H.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34.009298 Issued in OH

Practice address

12621 Eckel Junction Rd Ste 2800
Perrysburg, OH 43551-1304

Phone

(419) 724-4777

Fax

(419) 724-4776

NPI assigned

Apr 10, 2007

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

General Surgery

Education

Kansas City University of Physicians and Surgeons, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toledo Surgical Associates, Inc.Group PAC ID 0547223703, 3 clinicians

Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• Mercy Health - Willard Hospital Hospital, Willard, OH, CCN 361310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bnazemi76626@direct.bsmhealth.org

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.

• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment Care Compare group NPD
• Toledo Surgical Associates, Inc.

  • Surgery Physician
  • Perrysburg, OH
  • NPI 1720185010
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians-North LLC

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1609000769
  Medicare reassignment NPD
• Mercy Health Physicians - North, LLC

  dba Mercy Health - Perrysburg Podiatry

  • Customized Equipment (DME)
  • Perrysburg, OH
  • NPI 1992358766
  NPD
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD

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

• Mercy Health - St Vincent Medical Center LLC

  dba Mercy Health St Vincent Medical Center

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• Mercy Health - Tiffin Hospital LLC

  dba Harness Health Pharmacy

  • General Acute Care Hospital
  • Tiffin, OH
  • NPI 1316994734
  Care Compare affiliation
• Mercy Health - Willard Hospital LLC

  dba Mercy Health - Willard Hospital

  • Critical Access Hospital
  • Willard, OH
  • NPI 1790731016
  Care Compare affiliation

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1093938854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 ECKEL JUNCTION RD STE 2800",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-724-4777",
            "fax_number": "419-724-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 ECKEL JUNCTION RD STE 2800",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-724-4777",
            "fax_number": "419-724-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZEMI",
        "first_name": "BETTINA",
        "middle_name": "ISABELLE",
        "name_prefix": "Dr.",
        "credential": "D.O, M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015313",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "537",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.009298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Nair, LSW
• Suchitra Nair, MD
• Sunyoung Nam
• John Michael Naseef
• Caitlin Noel Navarre
• Denielle Neal
• Michael Neal
• Michael Allen Neiswander, MD
• Anna L Nelson, MD
• Aurora Nero

• Surgery Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.