Individual provider Active NPI

Nashat Gabrail, M.D.

  • Specialist
  • Canton, OH
National Provider Identifier
1104854751
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-06-0196 Issued in OH
Practice address
4875 Higbee Ave NW
Canton, OH 44718-2566
Phone
(330) 492-3345
Fax
(330) 492-0462
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-06-0196 OH Primary

Addresses

Primary practice location

4875 Higbee Ave NW
Canton, OH 44718-2566

Mailing address

4875 Higbee Ave NW
Canton, OH 44718-2566
Phone (330) 492-3345

Other identifiers 2

IdentifierTypeStateIssuer
000000138107OtherOHANTHEM BC/BS
0796018MedicaidOH

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
I20050518000580 OH Practitioner - Hematology/Oncology 1658312160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4875 Higbee Ave NW
Canton, OH 44718-2566
Phone (330) 492-3345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Liberty Pharmacy CurrentSince Apr 1, 2001 Accepting new patients
Nashat Y Gabrail MD Inc Specialist CurrentSince Apr 1, 2001 Accepting new patients

Locations

4875 Higbee Ave NW
Canton, OH 44718
Phone (330) 492-3345

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1104854751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182566",
            "telephone_number": "330-492-3345",
            "fax_number": "330-492-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182566",
            "telephone_number": "330-492-3345",
            "fax_number": "330-492-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRAIL",
        "first_name": "NASHAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-06-0196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000138107",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0796018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.