NPIMap

Individual provider Active NPI

Mazin S Salem, MD

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1255332359
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067818 Issued in OH
Practice address
3830 Woodley Rd
Ste C
Toledo, OH 43606-1177
Phone
(419) 841-1600
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35067818 OH Primary

Addresses

Primary practice location

3830 Woodley Rd
Ste C
Toledo, OH 43606-1177

Mailing address

4235 Secor Rd
Toledo, OH 43623-4321
Phone (419) 841-1600

Other identifiers 1

IdentifierTypeStateIssuer
0214815MedicaidOH

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
I20031215000971 OH Practitioner - Internal Medicine 6204733504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 479-5398

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067818OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Internal Medicine Current Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Feb 1, 2008 Accepting new patients
Toledo Clinic Incorporated CurrentSince Feb 1, 2008 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5300 Harroun Rd
Ste 304
Sylvania, OH 43560
Phone (419) 824-1100

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

5800 Park Center Ct
Ste A
Toledo, OH 43615
Phone (419) 841-1600

3830 Woodley Rd
Ste C
Toledo, OH 43606
Phone (419) 841-1600

Interoperability endpoints

  • Direct secure messaging: mazin.salem@toledoclinic.eclinicaldirectplus.com

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 11

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1255332359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234321",
            "telephone_number": "419-841-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WOODLEY RD",
            "address_2": "STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061177",
            "telephone_number": "419-841-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "MAZIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214815",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.