Active NPI
Kadra Ganim, MD
- Family Medicine Physician
- Toledo, OH
National Provider Identifier
1497999510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35098039
- Practice address
- 2142 N Cove Blvd
Toledo, OH 43606-3895 - Phone
- (419) 291-4000
- NPI assigned
- Apr 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35098039 | OH | Primary |
Addresses
Primary practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Mailing address
333 N Summit St FL 7
Toledo, OH 43604-1531
Other practice location 1
2901 N Reynolds Rd
Toledo, OH 43615-2035
Phone (419) 578-7700
Other practice location 2
5300 Harroun Rd
#304
Sylvania, OH 43560-2182
Phone (419) 824-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055249 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kganim12906@epicdirect.promedica.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
Hospital & facility affiliations
- Promedica Toledo Hospital
- Memorial Hospital
- Promedica Charles and Virginia Hickman Hospital
- Promedica Defiance Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35098039 | OH | MD | Family Medicine Physician |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1306105150
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Defiance, OH
- NPI 1699775726
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1497999510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST FL 7",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-291-4000"
}
],
"practiceLocations": [
{
"address_1": "2901 N Reynolds Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436152035",
"country_code": "US",
"telephone_number": "419-578-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5300 Harroun Rd",
"address_2": "#304",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602182",
"country_code": "US",
"telephone_number": "419-824-1100",
"fax_number": "419-824-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANIM",
"first_name": "KADRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2023-11-03",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35098039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055249",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kganim12906@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 3, 2023; 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.