Active NPI
Lina Elsamaloty, MD
- Diagnostic Radiology Physician
- Toledo, OH
National Provider Identifier
1467957894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301511595
- Practice address
- 5757 Park Center CT.
Toledo, OH 43615 - Phone
- (419) 474-4064
- Fax
- (419) 472-2772
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 4301511595 | MI | |
| Body Imaging Physician | 2085B0100X | 35.15809 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 4301511595 | MI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 35-150809 | OH |
Addresses
Primary practice location
5757 Park Center CT.
Toledo, OH 43615
Mailing address
5757 Park Center CT.
Toledo, OH 43615
Phone (419) 474-4064
Other practice location 1
2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 251-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Toledo College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600
718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 474-4064
7629 Olympic Pkwy
Sylvania, OH 43560-4309
Phone (317) 614-9881
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301511595 | MI | MD | Body Imaging Physician |
| 35.15809 | OH | MD | Body Imaging Physician |
| 35-150809 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1467957894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 PARK CENTER CT.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43615",
"telephone_number": "419-474-4064",
"fax_number": "419-472-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 PARK CENTER CT.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43615",
"telephone_number": "419-474-4064",
"fax_number": "419-472-2772"
}
],
"practiceLocations": [
{
"address_1": "2200 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436047101",
"country_code": "US",
"telephone_number": "419-251-1400",
"fax_number": "419-251-4159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELSAMALOTY",
"first_name": "LINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2024-12-18",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MI",
"license": "4301511595",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "OH",
"license": "35.15809",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301511595",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35-150809",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.