Active NPI
Mark Anthony Naddaf, MD
- Pediatric Gastroenterology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 89490
- Practice address
- 2222 Cherry St
Suite 1600
Toledo, OH 43608-2673 - Phone
- (419) 251-4880
- Fax
- (419) 251-7714
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301083864 | MI | |
| Pediatric Gastroenterology Physician | 2080P0206X | 4301083864 | MI | |
| Pediatric Gastroenterology Physician | 2080P0206X | 89490 | OH | Primary |
Addresses
Primary practice location
2222 Cherry St
Suite 1600
Toledo, OH 43608-2673
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 1
2213 Cherry St
Toledo, OH 43608-2603
Phone (567) 290-6543
Other practice location 2
4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537
Phone (419) 251-4880
Other practice location 3
730 W. High Street
Lima, OH 45801
Phone (419) 251-4880
Other practice location 4
500 W Market St
Tiffin, OH 44883-2610
Phone (419) 251-8035
Other practice location 5
1400 E 2nd St
Defiance, OH 43512-9905
Phone (419) 251-4880
Other practice location 6
605 3rd Ave
Fremont, OH 43420-3269
Phone (419) 251-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2743697 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 Cherry St
Toledo, OH 43608-2673
Phone (419) 251-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083864 | MI | MD | Pediatrics Physician |
| 89490 | OH | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Pediatrics | Current | Accepting new patients |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients | |
| Promedica Children'S Specialists | Pediatrics | Current | Accepting new patients |
| Northwest Pediatric Specialists, LLC | Pediatrics | Current | Accepting new patients |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
605 3rd Ave
Fremont, OH 43420
Phone (419) 355-8070
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774
500 W Market St
Tiffin, OH 44883
Phone (419) 251-8210
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
4126 N Holland Sylvania Rd
Ste 220
Toledo, OH 43623
Phone (419) 517-7600
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200
2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403
2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400
2222 Cherry St
Ste 1600
Toledo, OH 43608
Phone (419) 251-6600
Interoperability endpoints
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
- mnaddaf27140@direct.bsmhealth.org
Organizations & group practices 11
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.
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Multi-Specialty Clinic/Center
- Defiance, OH
- NPI 1669756532
-
- Surgery Physician
- Defiance, OH
- NPI 1730701749
-
- Pediatrics Physician
- Toledo, OH
- NPI 1245444959
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Durable Medical Equipment & Medical Supplies
- Napoleon, OH
- NPI 1710405808
-
- Customized Equipment (DME)
- Defiance, OH
- NPI 1043972482
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1124142500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 CHERRY ST",
"address_2": "SUITE 1600",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082673",
"telephone_number": "419-251-4880",
"fax_number": "419-251-7714"
}
],
"practiceLocations": [
{
"address_1": "2213 Cherry St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082603",
"country_code": "US",
"telephone_number": "567-290-6543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4126 N Holland Sylvania Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436233537",
"country_code": "US",
"telephone_number": "419-251-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 W. High Street",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "45801",
"country_code": "US",
"telephone_number": "419-251-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Market St",
"address_purpose": "LOCATION",
"city": "Tiffin",
"state": "OH",
"postal_code": "448832610",
"country_code": "US",
"telephone_number": "419-251-8035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 E 2nd St",
"address_purpose": "LOCATION",
"city": "Defiance",
"state": "OH",
"postal_code": "435129905",
"country_code": "US",
"telephone_number": "419-251-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 3rd Ave",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "OH",
"postal_code": "434203269",
"country_code": "US",
"telephone_number": "419-251-4880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NADDAF",
"first_name": "MARK",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2023-06-16",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301083864",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MI",
"license": "4301083864",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "OH",
"license": "89490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2743697",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.