Individual provider Active NPI

Assad Taha, MD, PHD

  • Surgical Critical Care Physician
  • Toledo, OH
National Provider Identifier
1295035210
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
209619 Issued in MA
Practice address
3836 Tall Oaks Rd
Toledo, OH 43614-5018
Phone
(305) 490-3682
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 209619 MA
Surgical Critical Care Physician 2086S0102X 209619 MA Primary

Addresses

Primary practice location

3836 Tall Oaks Rd
Toledo, OH 43614-5018

Mailing address

3836 Tall Oaks Rd
Toledo, OH 43614-5018
Phone (305) 490-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA, DC3 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
I20161109002685 GA Practitioner - General Surgery 2163694449 Reassigns benefits to 1 organization
I20180222000892 MA Practitioner - Critical Care (Intensivists)Practitioner - General SurgeryPractitioner - Other (Physician) 2163694449 Reassigns benefits to 2 organizations
I20200416000788 DC Practitioner - General Surgery 2163694449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Mar 1, 2018 Accepting new patients
Morehouse Healthcare, Inc. Surgery CurrentSince Sep 28, 2016 Accepting new patients
Pratt Surgical Associates Inc Surgery CurrentSince Apr 1, 2020 Accepting new patients
Urgent Specialty Associates PLLC Surgery CurrentSince Apr 1, 2020 Accepting new patients
Surgical Specialists of Spokane Surgery Past Accepting new patients

Locations

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1295035210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 TALL OAKS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436145018",
            "telephone_number": "305-490-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 TALL OAKS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436145018",
            "telephone_number": "305-490-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "ASSAD",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "209619",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "209619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.