Individual provider Active NPI

Eisha Mubashir, M.D.

  • Rheumatology Physician
  • Toledo, OH
National Provider Identifier
1629036884
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35088828 Issued in OH
Practice address
3020 N McCord Rd
Suite 102
Toledo, OH 43615-1702
Phone
(419) 517-1115
Fax
(419) 517-1109
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 199939 LA
Rheumatology Physician 207RR0500X 35088828 OH Primary

Addresses

Primary practice location

3020 N McCord Rd
Suite 102
Toledo, OH 43615-1702

Mailing address

3020 N McCord Rd
Suite 102
Toledo, OH 43615-1702
Phone (419) 517-1115

Other identifiers 1

IdentifierTypeStateIssuer
2700705MedicaidOH

Other names 1

  • Dr. Eisha Mukhtar Former name

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
I20061113000562 OH Practitioner - RheumatologyPractitioner - Internal Medicine 0244238988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis and Rheumatism Center IncGroup PAC ID 4082787809, 2 clinicians

Practice addresses (Care Compare)

3020 N McCord Rd
Suite 201
Toledo, OH 43615-1744
Phone (419) 517-1115

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199939LAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rheumatism Center Inc Rheumatology CurrentSince May 1, 2015 Accepting new patients
University of Toledo Physicians LLC Rheumatology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3020 N McCord Rd
Ste 102
Toledo, OH 43615
Phone (419) 517-1110

3020 N McCord Rd
Ste 201
Toledo, OH 43615
Phone (419) 517-1110

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.

Hospital & facility affiliations 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1629036884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N MCCORD RD",
            "address_2": "SUITE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151702",
            "telephone_number": "419-517-1115",
            "fax_number": "419-517-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 N MCCORD RD",
            "address_2": "SUITE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151702",
            "telephone_number": "419-517-1115",
            "fax_number": "419-517-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBASHIR",
        "first_name": "EISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "199939",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35088828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EISHA",
            "last_name": "MUKHTAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.