Nasim Mastouri

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35.120131 Issued in OH

Practice address

1005 Bellefontaine Ave
Suite 230
Lima, OH 45804-2851

Phone

(419) 998-8255

Fax

(419) 226-8335

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Nephrology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Lima Dialysis facility, Lima, OH, CCN 362656
• DaVita Kenton Dialysis Dialysis facility, Kenton, OH, CCN 362805
• FMC - RCG Van Wert Dialysis facility, Van Wert, OH, CCN 362639
• Liberty Dialysis Services Dialysis facility, Lima, OH, CCN 722503
• Lima Memorial Health System Hospital, Lima, OH, CCN 360009
• Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
• Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
• Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
• Lima Memorial Health System Inpatient rehabilitation facility, Lima, OH, CCN 36T009

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nasim.mastouri@lmpc.eclinicaldirectplus.com

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.

• Lima Memorial Professional Corporation

  • Specialist
  • Lima, OH
  • NPI 1457474900
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Ohio Inc

  • Internal Medicine Physician
  • Ashtabula, OH
  • NPI 1477500999
  Medicare reassignment NPD
• Lima Memorial Professional Corporation

  • Family Medicine Physician
  • Ottawa, OH
  • NPI 1508146416
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Lima Memorial Professional Corporation

  • Family Medicine Physician
  • Lima, OH
  • NPI 1114978244
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liberty Dialysis Services Inc

  • Renal Dialysis Technician
  • Bellbrook, OH
  • NPI 1578224390

  Dialysis facility

  Care Compare affiliation Name & address match
• Three Rivers Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Van Wert, OH
  • NPI 1477668234

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kenton, OH
  • NPI 1730427493

  Dialysis facility

  Care Compare affiliation Name & address match
• Joint Township District Memorial Hospital

  • General Acute Care Hospital
  • Saint Marys, OH
  • NPI 1639133002
  Care Compare affiliation
• Lima Memorial Joint Operating Company

  • Rehabilitation Hospital Unit
  • Lima, OH
  • NPI 1205831112

  Inpatient rehabilitation facility

  Care Compare affiliation
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  Care Compare affiliation
• Mercer County Joint Township Community Hospital

  • General Acute Care Hospital
  • Coldwater, OH
  • NPI 1497784144
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  • Psychiatric Hospital Unit
  • Lima, OH
  • NPI 1447276936
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1811939887
  Care Compare affiliation
• Shelby County Memorial Hospital Association Inc.

  • General Acute Care Hospital
  • Sidney, OH
  • NPI 1639174204
  Care Compare affiliation

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1710121132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BELLEFONTAINE AVE",
            "address_2": "SUITE 230",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042851",
            "telephone_number": "419-998-8255",
            "fax_number": "419-226-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTOURI",
        "first_name": "NASIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.120131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072864",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024141",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nasim.mastouri@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1005 Bellefontaine Ave",
            "address_2": "Suite 230",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael David Martz, DO
• Bharat Marwaha, MD
• Bradley J Marzec, FNP
• Melinda Faye Massengale, CT
• Heidi Marie Masters-Siebenaler, LPC, LPSC
• Cathy Mastropietro, CRNA
• Dylan Jay Mathews, DO
• Farren Anease Mathews, CDCA I
• Mario Matos-Cruz, M.D.
• Vanessa Marie Mattevi, LSW

• Nephrology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.

Verify at the official NPI Registry.