Individual provider Active NPI

Nabil A Ebraheim, M.D.

  • Orthopaedic Trauma Physician
  • Toledo, OH
National Provider Identifier
1760479018
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
35052443 Issued in OH
Practice address
2409 Cherry St Ste 10
Toledo, OH 43608-2625
Phone
(419) 251-6784
Fax
(419) 251-6787
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 35052443 OH Primary
Orthopaedic Surgery Physician 207X00000X 35052443 OH

Addresses

Primary practice location

2409 Cherry St Ste 10
Toledo, OH 43608-2625

Mailing address

2409 Cherry St Ste 10
Toledo, OH 43608-2625

Other identifiers 1

IdentifierTypeStateIssuer
0595002MedicaidOH

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
I20040113000469 OH Practitioner - Orthopedic Surgery 2860398229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Ohio Orthopedics and Sports Medicine IncGroup PAC ID 4082528484, 45 clinicians

Practice addresses (Care Compare)

5750 Alexis Rd
Sylvania, OH 43560-2349
Phone (419) 824-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052443OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University of Ohio at Toledo Current Accepting new patients
Northwest Ohio Orthopedics and Sports Medicine, Inc CurrentSince Jul 12, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jun 6, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Orthopaedic Surgery CurrentSince Jun 6, 2023 Accepting new patients
Northwest Ohio Orthopedics and Sports Medicine, Inc Orthopaedic Surgery CurrentSince Jul 12, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7595 County Road 236
Findlay, OH 45840
Phone (419) 427-3104

5750 Alexis Rd
Sylvania, OH 43560
Phone (419) 824-0300

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

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2409 Cherry St
Ste 10
Toledo, OH 43608
Phone (419) 251-6553

Interoperability endpoints

  • Direct secure messaging: nebraheim25461@direct.utoledo.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1760479018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST STE 10",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST STE 10",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082625",
            "telephone_number": "419-251-6784",
            "fax_number": "419-251-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHEIM",
        "first_name": "NABIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "OH",
            "license": "35052443",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35052443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.