NPIMap

Individual provider Active NPI

Nina Carmela Rosales Tamayo, DO, MS, MPH

  • Spinal Cord Injury Medicine Physician
  • Copley, OH
National Provider Identifier
1740697986
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
34.013457 Issued in OH
Practice address
4389 Medina Rd
Copley, OH 44321-1388
Phone
(708) 525-1058
NPI assigned
Jul 21, 2014
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Physical Medicine & Rehabilitation Physician 208100000X 02008653A IN
Physical Medicine & Rehabilitation Physician 208100000X 4877 WV
Spinal Cord Injury Medicine Physician 2081P0004X 34.013457 OH Primary
Spinal Cord Injury Medicine Physician 2081P0004X H0102338 MD

Addresses

Primary practice location

4389 Medina Rd
Copley, OH 44321-1388

Mailing address

11800 Edgewater Dr Apt 1016
Lakewood, OH 44107-1760

Other practice location 1

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 373-4538

Other practice location 2

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 3

8551 Darrow Rd
Twinsburg, OH 44087-2311
Phone (330) 486-9402

Other practice location 4

1000 North Village Ave.
Rm 409
Rockville Centre, NY 11571
Phone (516) 705-6448

Other identifiers 1

IdentifierTypeStateIssuer
1740697986MedicaidWV

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address ntamayo686267@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, IL, MT, IN, WV6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20181003001909 OH Practitioner - Physical Medicine and Rehabilitation 3375814189 Reassigns benefits to 1 organization
I20220418001448 WI Practitioner - Physical Medicine and Rehabilitation 3375814189 Reassigns benefits to 1 organization
I20231026003911 IL Practitioner - Physical Medicine and Rehabilitation 3375814189
I20250326003316 MT Practitioner - Physical Medicine and Rehabilitation 3375814189 Reassigns benefits to 1 organization
I20260427001480 IN Practitioner - Physical Medicine and Rehabilitation 3375814189 Reassigns benefits to 1 organization
I20260624002038 WV Practitioner - Physical Medicine and Rehabilitation 3375814189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rowan University School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 373-6454

330 Southwest Ave
Tallmadge, OH 44278-2235
Phone (708) 525-1058

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
21848WIMDAllergy & Immunology (Internal Medicine) Physician
02008653AINMDPhysical Medicine & Rehabilitation Physician
4877WVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Directives PM&R LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2022 Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 14, 2025 Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 14, 2025 Accepting new patients
Lifepoint Rehab Physician Services LLC Physical Medicine & Rehabilitation CurrentSince Jan 16, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Feb 18, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
Parkview Health System Inc Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3572 Hesper Rd
Billings, MT 59102
Phone (406) 413-6200

38600 Center Ridge Rd
North Ridgeville, OH 44039
Phone (216) 659-1872

330 Southwest Ave
Tallmadge, OH 44278
Phone (330) 633-0555

8551 Darrow Rd
Twinsburg, OH 44087
Phone (330) 486-9402

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: ntamayo1175890@meritus.direct-ci.net
  • Direct secure messaging: ntamayo1258244@ahs.direct-ci.com
  • Direct secure messaging: ntamayo130326@direct.metrohealth.org
  • Direct secure messaging: ntamayo686267@direct.parkviewexchange.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1740697986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 EDGEWATER DR APT 1016",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 MEDINA RD",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211388",
            "telephone_number": "708-525-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Randallia Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054638",
            "country_code": "US",
            "telephone_number": "260-373-4538",
            "fax_number": "260-373-6470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8551 Darrow Rd",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440872311",
            "country_code": "US",
            "telephone_number": "330-486-9402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 North Village Ave.",
            "address_2": "Rm 409",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "11571",
            "country_code": "US",
            "telephone_number": "516-705-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "NINA CARMELA",
        "middle_name": "ROSALES",
        "name_prefix": "Dr.",
        "credential": "DO, MS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "02008653A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "4877",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "OH",
            "license": "34.013457",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "MD",
            "license": "H0102338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740697986",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2200 Randallia Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntamayo686267@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "2200 Randallia Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054638",
            "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": "2200 Randallia Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Copley, OH

Sources for this page

Verify at the official NPI Registry.