Active NPI
Mohamed A Omballi, M.D
- Pulmonary Disease Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35.140884
- Practice address
- 1325 Conference Dr
Toledo, OH 43614-8009 - Phone
- (419) 383-6644
- Fax
- (419) 383-2924
- NPI assigned
- Apr 8, 2009
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.205534 | LA | |
| Pulmonary Disease Physician | 207RP1001X | 35.140884 | OH | Primary |
| Pulmonary Disease Physician | 207RP1001X | Q9220 | TX | |
| Pulmonary Disease Physician | 207RP1001X | ME139906 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME139906 | FL | |
| Pulmonary Disease Physician | 207RP1001X | 55410 | WI | |
| Hospitalist Physician | 208M00000X | MD.205534 | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35.140884 | OH |
Addresses
Primary practice location
1325 Conference Dr
Toledo, OH 43614-8009
Mailing address
3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5023
Other practice location 1
3333 Glendale Ave Ste 1350
Toledo, OH 43614-2426
Phone (419) 383-5614
Other practice location 2
2100 W Central Ave Ste 4200
Toledo, OH 43606-3800
Phone (567) 420-1600
Other practice location 3
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1444
Other practice location 4
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Other practice location 5
1658 St Vincents Way Ste 100
Middleburg, FL 32068-8459
Phone (904) 602-4481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0433282 | Medicaid | OH | |
| 1184867996 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 Conference Dr
Toledo, OH 43614-8009
Phone (419) 383-6644
1900 S Main St
Suite R3300
Findlay, OH 45840-1214
Phone (419) 429-6441
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 240-8835
830 W High St
Suite 390
Lima, OH 45801-3988
Phone (419) 226-9610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME139906 | FL | MD | Pulmonary Disease Physician |
| 55410 | WI | MD | Pulmonary Disease Physician |
| MD.205534 | LA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians Lima Specialty Care LLC | Critical Care Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Promedica Multi Specialty Physicians | Pulmonary Disease | Current | Accepting new patients |
| Specialty Physicians of Blanchard Valley LLC | Critical Care Medicine | Current | Accepting new patients |
| Medical University of Ohio at Toledo | Current | Accepting new patients |
Locations
777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292
730 N Macomb St
Ste 300
Monroe, MI 48162
Phone (734) 235-5296
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
L4189
Columbus, OH 43260
1252 Ralston Ave
Ste 304
Defiance, OH 43512
1900 S Main St
Ste R3300
Findlay, OH 45840
Phone (419) 423-5262
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888
3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
3000 Arlington Ave
Stop 1108
Toledo, OH 43614
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
3333 Glendale Ave
Ste 1350
Toledo, OH 43614
Phone (419) 383-5614
3000 Arlington Ave
#1108
Toledo, OH 43614
Phone (419) 383-5330
2100 W Central Ave
Ste 4200
Toledo, OH 43606
Phone (567) 420-1600
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- momballi427515@direct.shands.ufl.edu
- momballi2530661@direct.bsmhealth.org
- momballi19520@direct.utoledo.edu
Organizations & group practices 7
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.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
Critical Care Medicine
-
- Family Medicine Physician
- Toledo, OH
- NPI 1306105150
MI, Pulmonary Disease
-
- Cardiovascular Disease Physician
- Findlay, OH
- NPI 1689835415
Critical Care Medicine
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Internal Medicine
-
dba University of Toledo Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Blanchard Valley Hospital
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
dba Defiance Regional Medical Center
- Critical Access Hospital
- Defiance, OH
- NPI 1699775726
-
dba University of Toledo Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
dba Inpatient Psych Unit
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
dba Mercy Health-St Rita's Medical Center
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1184867996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE STOP 1108",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142595",
"telephone_number": "419-383-5023",
"fax_number": "419-383-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 CONFERENCE DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436148009",
"telephone_number": "419-383-6644",
"fax_number": "419-383-2924"
}
],
"practiceLocations": [
{
"address_1": "3333 Glendale Ave Ste 1350",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142426",
"country_code": "US",
"telephone_number": "419-383-5614",
"fax_number": "419-383-5418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 W Central Ave Ste 4200",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063800",
"country_code": "US",
"telephone_number": "567-420-1600",
"fax_number": "567-420-1638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Harroun Rd",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602168",
"country_code": "US",
"telephone_number": "419-824-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 W Good Hope Rd",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532092042",
"country_code": "US",
"telephone_number": "414-352-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1658 St Vincents Way Ste 100",
"address_purpose": "LOCATION",
"city": "Middleburg",
"state": "FL",
"postal_code": "320688459",
"country_code": "US",
"telephone_number": "904-602-4481",
"fax_number": "904-354-1340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMBALLI",
"first_name": "MOHAMED",
"middle_name": "A",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-08",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.205534",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35.140884",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "Q9220",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME139906",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME139906",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "55410",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "MD.205534",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35.140884",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0433282",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184867996",
"state": "WI"
}
],
"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 Oct 30, 2025; 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.