Active NPI
Nabil A Ebraheim, M.D.
- Orthopaedic Trauma Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 35052443
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0595002 | Medicaid | OH |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35052443 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| Northwest Ohio Orthopedics and Sports Medicine, Inc | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Northwest Ohio Orthopedics and Sports Medicine, Inc | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Findlay, OH
- NPI 1023037140
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
Orthopaedic Surgery
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Durable Medical Equipment & Medical Supplies
- Upper Sandusky, OH
- NPI 1568248185
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.