Individual provider Active NPI

Mohamed A Omballi, M.D

  • Pulmonary Disease Physician
  • Toledo, OH
National Provider Identifier
1184867996
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.140884 Issued in OH
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

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0433282MedicaidOH
1184867996MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170124001377 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3577791433 Reassigns benefits to 1 organization
I20210223002617 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3577791433 Reassigns benefits to 4 organizations
I20251113000980 MI Practitioner - Pulmonary Disease 3577791433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

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

LicenseStateTypeSpecialty
ME139906FLMDPulmonary Disease Physician
55410WIMDPulmonary Disease Physician
MD.205534LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Internal Medicine CurrentSince Jan 19, 2021 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Dec 25, 2016 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Critical Care Medicine CurrentSince Jan 25, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 25, 2016 Accepting new patients
Promedica Multi Specialty Physicians Pulmonary Disease CurrentSince Nov 1, 2025 Accepting new patients
Specialty Physicians of Blanchard Valley LLC Critical Care Medicine CurrentSince Dec 15, 2025 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

  • Direct secure messaging: momballi427515@direct.shands.ufl.edu
  • Direct secure messaging: momballi2530661@direct.bsmhealth.org
  • Direct secure messaging: 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.

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1184867996",
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        {
            "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",
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            "postal_code": "436148009",
            "telephone_number": "419-383-6644",
            "fax_number": "419-383-2924"
        }
    ],
    "practiceLocations": [
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            "address_1": "3333 Glendale Ave Ste 1350",
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            "postal_code": "436142426",
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            "telephone_number": "419-383-5614",
            "fax_number": "419-383-5418",
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        },
        {
            "address_1": "2100 W Central Ave Ste 4200",
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            "postal_code": "436063800",
            "country_code": "US",
            "telephone_number": "567-420-1600",
            "fax_number": "567-420-1638",
            "country_name": "United States",
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        {
            "address_1": "5200 Harroun Rd",
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            "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",
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            "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",
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            "license": "35.140884",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q9220",
            "primary": false
        },
        {
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            "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
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    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433282",
            "state": "OH"
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184867996",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.