Individual provider Active NPI

Zinoviya Totodova, M.D.

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1295729317
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46023-020 Issued in WI
Practice address
4481 Sugar Maple Drive
Dayton, OH 45433
Phone
(937) 257-9926
Fax
(937) 257-1529
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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 46023-020 WI Primary

Addresses

Primary practice location

4481 Sugar Maple Drive
Dayton, OH 45433

Mailing address

4481 Sugar Maple Drive
Dayton, OH 45433
Phone (937) 257-9926

Other identifiers 1

IdentifierTypeStateIssuer
34472300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130523000516 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2769471408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46023-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1295729317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 SUGAR MAPLE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9926",
            "fax_number": "937-257-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 SUGAR MAPLE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9926",
            "fax_number": "937-257-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTODOVA",
        "first_name": "ZINOVIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "46023-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34472300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.