Individual provider Active NPI

Mahboob Noory, M.D.

  • Family Medicine Physician
  • Loveland, OH
National Provider Identifier
1528061595
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35061251 Issued in OH
Practice address
411 W Loveland Ave
Ste 102
Loveland, OH 45140-2358
Phone
(513) 683-3020
Fax
(513) 677-4585
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35061251 OH Primary

Addresses

Primary practice location

411 W Loveland Ave
Ste 102
Loveland, OH 45140-2358

Mailing address

PO Box 635156
Cincinnati, OH 45263-5156
Phone (513) 683-3020

Other identifiers 3

IdentifierTypeStateIssuer
0894993MedicaidOH
42799948OtherOHAETNA
61251OtherOHCHOICE CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1528061595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635156",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635156",
            "telephone_number": "513-683-3020",
            "fax_number": "513-677-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LOVELAND AVE",
            "address_2": "STE 102",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451402358",
            "telephone_number": "513-683-3020",
            "fax_number": "513-677-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORY",
        "first_name": "MAHBOOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35061251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894993",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "42799948",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE",
            "identifier": "61251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.