Individual provider Active NPI

Carmelita Mirabueno Tozbikian, MD

  • Anesthesiology Physician
  • Dayton, OH
National Provider Identifier
1114984887
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.042373 Issued in OH
Practice address
1 Valley St
One Children's Medical Plaza
Dayton, OH 45404-1779
Phone
(937) 641-5848
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.042373 OH Primary

Addresses

Primary practice location

1 Valley St
One Children's Medical Plaza
Dayton, OH 45404-1779

Mailing address

1 Valley St
One Children's Medical Plaza
Dayton, OH 45404-1779
Phone (937) 641-5848

Other identifiers 2

IdentifierTypeStateIssuer
000000541696OtherOHANTHEM
0367204MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.042373OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Anesthesia Group Inc Anesthesiology Past Accepting new patients
Pediatric Anesthesia Associates of Dayton, Inc. Anesthesiology Past 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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1114984887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VALLEY ST",
            "address_2": "ONE CHILDREN'S MEDICAL PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041779",
            "telephone_number": "937-641-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VALLEY ST",
            "address_2": "ONE CHILDREN'S MEDICAL PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041779",
            "telephone_number": "937-641-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZBIKIAN",
        "first_name": "CARMELITA",
        "middle_name": "MIRABUENO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.042373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000541696",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0367204",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.