NPIMap

Individual provider Active NPI

Manaf Zaizafoun, MD

  • Pulmonary Disease Physician
  • Lorain, OH
National Provider Identifier
1174787972
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.125787 Issued in OH
Practice address
3600 Kolbe Rd Ste 109
Lorain, OH 44053-1652
Phone
(440) 960-6431
Fax
(440) 960-6435
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35.125787 OH Primary
Internal Medicine Physician 207R00000X 50589 MN

Addresses

Primary practice location

3600 Kolbe Rd Ste 109
Lorain, OH 44053-1652

Mailing address

3600 Kolbe Rd Ste 109
Lorain, OH 44053-1652
Phone (440) 960-6431

Other practice location 1

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other identifiers 1

IdentifierTypeStateIssuer
3025372MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812008390 OH Practitioner - Pulmonary Disease 2365516481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

3600 Kolbe Rd
Suite 227
Lorain, OH 44053-1601
Phone (440) 960-3304

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50589MNMDInternal Medicine Physician
35.125787OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Pulmonary Disease CurrentSince Jul 19, 2015 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Pulmonary Disease CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Nov 30, 2017 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Jul 19, 2015 Accepting new patients
Mercy Health Physicians Lorain, LLC Internal Medicine CurrentSince Nov 30, 2017 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

3600 Kolbe Rd
Ste 109
Lorain, OH 44053
Phone (440) 960-3304

3600 Kolbe Rd
Ste 205
Lorain, OH 44053
Phone (440) 960-6431

3600 Kolbe Rd
Ste 227
Lorain, OH 44053
Phone (440) 960-3304

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

Interoperability endpoints

  • Direct secure messaging: mzaizafoun363104@direct.bsmhealth.org
  • Direct secure messaging: mzaizafoun560508@ehrdirect.uhhospitals.org

Organizations & group practices 6

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 7

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1174787972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 109",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-6431",
            "fax_number": "440-960-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 109",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-6431",
            "fax_number": "440-960-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIZAFOUN",
        "first_name": "MANAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.125787",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "50589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.