Individual provider Active NPI

Anthony G Uribes, M.D.

  • Family Medicine Physician
  • Wauseon, OH
National Provider Identifier
1720084791
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35082560U Issued in OH
Practice address
725 South Shoop Avenue
Fulton County Health Center
Wauseon, OH 43567-1305
Phone
(419) 335-3624
Fax
(419) 335-4400
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 35082560U OH Primary

Addresses

Primary practice location

725 South Shoop Avenue
Fulton County Health Center
Wauseon, OH 43567-1305

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other identifiers 1

IdentifierTypeStateIssuer
2412875MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address auribes11459@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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
I20051220001014 OH Practitioner - Family Practice 6204858178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Community Health Associates, Inc.Group PAC ID 0941114250, 100 clinicians

Practice addresses (Care Compare)

442 W High St
Bryan, OH 43506-1681
Phone (260) 266-8210

725 S Shoop Ave
Wauseon, OH 43567-1702
Phone (419) 335-2015

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333
  • Community Hospitals and Wellness Centers Hospital, Bryan, OH, CCN 360121
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Fulton Manor Nursing & Rehab C Nursing home, Wauseon, OH, CCN 366097

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
71.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FCHC Medical Care, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: auribes11459@direct.parkviewexchange.com

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 6

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1720084791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SOUTH SHOOP AVENUE",
            "address_2": "FULTON COUNTY HEALTH CENTER",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671305",
            "telephone_number": "419-335-3624",
            "fax_number": "419-335-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBES",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35082560U",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412875",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "auribes11459@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "725 South Shoop Avenue",
            "address_2": "Fulton County Health Center",
            "city": "Wauseon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435671305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "725 South Shoop Avenue",
            "address_2": "Fulton County Health Center",
            "city": "Wauseon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435671305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "725 South Shoop Avenue",
            "address_2": "Fulton County Health Center",
            "city": "Wauseon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435671305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

Verify at the official NPI Registry.