Individual provider Active NPI

Mohamed Hassaballa, M.B.B.S

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1659868313
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35153457 Issued in OH
Practice address
3404 W Sylvania Ave FL 2
Toledo, OH 43623-4467
Phone
(419) 407-1182
Fax
(419) 407-1186
NPI assigned
Apr 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 35153457 OH
Family Medicine Physician 207Q00000X 35153457 OH Primary

Addresses

Primary practice location

3404 W Sylvania Ave FL 2
Toledo, OH 43623-4467

Mailing address

3404 W Sylania Ave FL 2
Toledo, OH 43623-4467
Phone (419) 407-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240823001127 IL Practitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 8628320249
I20251112001803 OH Practitioner - Family Practice 8628320249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35153457OHMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 8, 2025 Accepting new patients
Ucm Medical Group Sub, LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 8, 2025 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

27702 Network Pl
Chicago, IL 60673

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

3404 W Sylvania Ave
Fl 2
Toledo, OH 43623
Phone (419) 407-1178

Interoperability endpoints

  • Direct secure messaging: mhassaballa3084616@direct.bsmhealth.org
  • Direct secure messaging: mhassaballa323081@uchospital.direct-ci.com
  • Direct secure messaging: mhassabalamd331222@carlehiedirect.net

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 2

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1659868313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W SYLANIA AVE FL 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234467",
            "telephone_number": "419-407-1182",
            "fax_number": "419-407-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W SYLVANIA AVE FL 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234467",
            "telephone_number": "419-407-1182",
            "fax_number": "419-407-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSABALLA",
        "first_name": "MOHAMED",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35153457",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35153457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.