NPIMap

Individual provider Active NPI

Benahili U Iboaya, DO

  • Nephrology Physician
  • Findlay, OH
National Provider Identifier
1699755876
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34009331 Issued in OH
Practice address
655 Fox Run Rd Ste C
Findlay, OH 45840-8401
Phone
(567) 525-3163
Fax
(567) 525-3169
NPI assigned
Jan 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 34009331 OH
Nephrology Physician 207RN0300X 34009331 OH Primary

Addresses

Primary practice location

655 Fox Run Rd Ste C
Findlay, OH 45840-8401

Mailing address

655 Fox Run Rd Ste C
Findlay, OH 45840-8401
Phone (567) 525-3163

Other practice location 1

1207 E Wyandot Ave
Upper Sandusky, OH 43351-9647
Phone (567) 525-3163

Other practice location 2

100 Shaffer Park Dr
Tiffin, OH 44883-8536
Phone (567) 525-3163

Other identifiers 1

IdentifierTypeStateIssuer
2956592MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000847 OH Practitioner - NephrologyPractitioner - Other (Physician) 2668409780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Oklahoma State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

655 Fox Run Rd
Suite C
Findlay, OH 45840-8401
Phone (567) 525-3163

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34009331OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Dialysis Clinic LLC CurrentSince Jan 11, 2019 Accepting new patients
Blanchard Nephrology LLC Nephrology CurrentSince Sep 7, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

655 Fox Run Rd
Ste C
Findlay, OH 45840
Phone (567) 525-3030

100 Shaffer Park Dr
Tiffin, OH 44883
Phone (567) 525-3163

1207 E Wyandot Ave
Upper Sandusky, OH 43351
Phone (419) 731-4056

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADGEDD/Endpoint/ADGEDD
  • Direct secure messaging: biboaya58581@direct.bsmhealth.org

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 10

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": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1699755876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 FOX RUN RD STE C",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408401",
            "telephone_number": "567-525-3163",
            "fax_number": "567-525-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 FOX RUN RD STE C",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408401",
            "telephone_number": "567-525-3163",
            "fax_number": "567-525-3169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 E Wyandot Ave",
            "address_purpose": "LOCATION",
            "city": "Upper Sandusky",
            "state": "OH",
            "postal_code": "433519647",
            "country_code": "US",
            "telephone_number": "567-525-3163",
            "fax_number": "567-525-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Shaffer Park Dr",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "OH",
            "postal_code": "448838536",
            "country_code": "US",
            "telephone_number": "567-525-3163",
            "fax_number": "567-525-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBOAYA",
        "first_name": "BENAHILI",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-22",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "34009331",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34009331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2956592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.