Individual provider Active NPI

Michael Pappas, MD

  • Gastroenterology Physician
  • Toledo, OH
National Provider Identifier
1437110442
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35092425 Issued in OH
Practice address
4841 Monroe St
Suite 110
Toledo, OH 43623-4385
Phone
(419) 471-1350
Fax
(419) 471-1316
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35092425 OH Primary

Addresses

Primary practice location

4841 Monroe St
Suite 110
Toledo, OH 43623-4385

Mailing address

4841 Monroe St
Suite 110
Toledo, OH 43623-4385
Phone (419) 471-1350

Other identifiers 1

IdentifierTypeStateIssuer
270337800MedicaidFL

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
I20081208000347 OH Practitioner - Gastroenterology 2567434061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Ohio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Ohio Gastroenterology Associates IncGroup PAC ID 7517966872, 6 clinicians

Practice addresses (Care Compare)

4841 Monroe St
Suite 110
Toledo, OH 43623-4390
Phone (419) 471-1350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy200
Upper gastrointestinal (GI) endoscopy for acid reflux250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35092425OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC CurrentSince Jul 1, 2009 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 1, 2009 Accepting new patients
Sunshine Inc. Residential and Support Services Past Accepting new patients

Locations

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Organizations & group practices 4

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 5

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1437110442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 MONROE ST",
            "address_2": "SUITE 110",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234385",
            "telephone_number": "419-471-1350",
            "fax_number": "419-471-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 MONROE ST",
            "address_2": "SUITE 110",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234385",
            "telephone_number": "419-471-1350",
            "fax_number": "419-471-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35092425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270337800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.