Individual provider Active NPI

Nathan D Egbert, MD

  • Diagnostic Radiology Physician
  • Toledo, OH
National Provider Identifier
1740446814
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.121142 Issued in OH
Practice address
5757 Park Center CT.
Toledo, OH 43615
Phone
(419) 474-4064
Fax
(419) 472-2772
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.121142 OH Primary

Addresses

Primary practice location

5757 Park Center CT.
Toledo, OH 43615

Mailing address

5757 Park Center CT.
Toledo, OH 43615
Phone (419) 474-4064

Other practice location 1

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3428

Other identifiers 1

IdentifierTypeStateIssuer
0084572MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nathan.egbert.1@9641.direct.athenahealth.com UNIVERSITY OF TOLEDO PHYSICIANS LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130617000405 OH Practitioner - Diagnostic Radiology 5698914943 Reassigns benefits to 1 organization
I20190110003473 MI Practitioner - Diagnostic Radiology 5698914943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Radiological Associates IncGroup PAC ID 2567367519, 51 clinicians

Practice addresses (Care Compare)

1215 Grassy LN
Rossford, OH 43460-1525
Phone (317) 614-9881

1601 Brigham Dr
Suite 180
Perrysburg, OH 43551-7118
Phone (317) 614-9881

2120 W Central Ave
Toledo, OH 43606-3834
Phone (317) 614-9881

2130 W Central Ave
Toledo, OH 43606-3834
Phone (317) 614-9881

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (317) 614-9881

2150 W Central Ave
RM H
Toledo, OH 43606-3834
Phone (317) 614-9881

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (317) 614-9881

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (317) 614-9881

501 Van Buren St
Fostoria, OH 44830-1534
Phone (317) 614-9881

5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (317) 614-9881

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 577-0000

5700 Monroe St
Sylvania, OH 43560-2767
Phone (317) 614-9881

660 Beaver Creek Cir
Suite 120
Maumee, OH 43537-1746
Phone (317) 614-9881

715 S Taft Ave
Fremont, OH 43420-3237
Phone (317) 614-9881

718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 474-4064

7629 Olympic Pkwy
Sylvania, OH 43560-4309
Phone (317) 614-9881

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (317) 614-9881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.56

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.121142OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fostoria Hospital Association CurrentSince Jan 1, 2018 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

Interoperability endpoints

  • Direct secure messaging: negbert39334@direct.utoledo.edu

Organizations & group practices 4

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 7

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1740446814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 PARK CENTER CT.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-474-4064",
            "fax_number": "419-472-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PARK CENTER CT.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-474-4064",
            "fax_number": "419-472-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3428",
            "fax_number": "419-383-6422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "NATHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-01-24",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.121142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084572",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathan.egbert.1@9641.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF TOLEDO PHYSICIANS LLC",
            "address_1": "3000 Arlington Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436142595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.