Nima Malakooti, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35.121527 Issued in OH

Practice address

205 Palmer Avenue
Bellefontaine, OH 43311-1716

Phone

(216) 844-8447

NPI assigned

Jun 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Emergency Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Ohio Emergency Group, LLCGroup PAC ID 7810233517, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
• Ohiohealth Shelby Hospital Hospital, Shelby, OH, CCN 361324

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as group

Quality

84.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nima.malakooti.1@31959.direct.athenahealth.com

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.

• Mid-Ohio Emergency Group, LLC

  • Emergency Medicine Physician
  • Mansfield, OH
  • NPI 1881164010
  Medicare reassignment Care Compare group NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Ohio Emergency Care Services, Inc

  • Emergency Medicine Physician
  • Delaware, OH
  • NPI 1184028524
  Medicare reassignment NPD
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment NPD
• Emergency Services, Inc.

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1316925092
  NPD (past)

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

• Medcentral Health System

  • Critical Access Hospital
  • Mansfield, OH
  • NPI 1487706016
  Care Compare affiliation
• Medcentral Health System

  • General Acute Care Hospital
  • Mansfield, OH
  • NPI 1790837235
  Care Compare affiliation
• Medcentral Health System

  • Clinical Medical Laboratory
  • Mansfield, OH
  • NPI 1962888016

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1164733820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PALMER AVENUE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PALMER AVENUE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111716",
            "telephone_number": "216-844-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAKOOTI",
        "first_name": "NIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.121527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164733820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Longbrake
• Phyllis Jane Lyons, R.N.
• Lori Maben, LPN
• Clare E Macaulay, D.D.S.
• Stacy Maggart, HIS
• Annette Malone, MD
• Maple Leaf Family and Sports Medicine, LLC
• Steven Marshall, R. PH.
• Alaina Martin
• Bobbi Jo Martinez, PHARMD

• Emergency Medicine Physician in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.