Active NPI
Nazih Jamil Dabis, MD
- Pediatrics Physician
- Wapakoneta, OH
National Provider Identifier
1730296237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 45580
- Practice address
- 1015 S Blackhoof St
Wapakoneta, OH 45895-2280 - Phone
- (419) 738-1655
- Fax
- (419) 738-1656
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Gastroenterology Physician
- Lima, OH
- NPI 1851358196
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Federally Qualified Health Center (FQHC)
- Hartford City, IN
- NPI 1245094028
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1015 S Blackhoof St
Suite B
Wapakoneta, OH 45895-2280
Phone (419) 738-1655
311 W Main St
New Bloomfield, PA 17068-9642
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251105003460 | OH | Practitioner - Pediatric Medicine | 1850451782 | Practice locations: Wapakoneta, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45580 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Physicians Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Open Door Health Services, Inc. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45580 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1015 S Blackhoof St
Wapakoneta, OH 45895-2280
Mailing address
1015 S Blackhoof St
Wapakoneta, OH 45895-2280
Phone (419) 738-1655
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0437996 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2025.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1730296237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S BLACKHOOF ST",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458952280",
"telephone_number": "419-738-1655",
"fax_number": "419-738-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S BLACKHOOF ST",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458952280",
"telephone_number": "419-738-1655",
"fax_number": "419-738-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABIS",
"first_name": "NAZIH",
"middle_name": "JAMIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "45580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0437996",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wapakoneta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.