Individual provider Active NPI

Nazih Jamil Dabis, MD

  • Pediatrics Physician
  • Wapakoneta, OH
National Provider Identifier
1730296237
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
45580 Issued in OH
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
45580OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Physicians Inc PastSince Dec 22, 2019 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)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45580 OH Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0437996MedicaidOH

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

Verify at the official NPI Registry.