NPIMap

Individual provider Active NPI

Nizar Y Daboul, M.D

  • Internal Medicine Physician
  • Maumee, OH
National Provider Identifier
1770547259
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35072198 Issued in OH
Practice address
6450 Wheatstone CT
Maumee, OH 43537-9402
Phone
(419) 866-6200
Fax
(419) 866-7170
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35072198 OH Primary

Addresses

Primary practice location

6450 Wheatstone CT
Maumee, OH 43537-9402

Mailing address

6450 Wheatstone CT
Maumee, OH 43537-9402
Phone (419) 866-6200

Other identifiers 1

IdentifierTypeStateIssuer
2008562MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090505000007 OH Practitioner - Internal MedicinePractitioner - Emergency Medicine 8224044235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

6450 Wheatstone CT
Maumee, OH 43537-9402
Phone (419) 866-6200

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Elara Caring Home health agency, Toledo, OH, CCN 367730
  • Ohio Living Home Health Greater Toledo Home health agency, Toledo, OH, CCN 367530
  • Med1Care, LLC Home health agency, Findlay, OH, CCN 368362
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072198OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Current Accepting new patients
Michelle Haas Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Feb 1, 2016 Accepting new patients
Toledo Clinic Incorporated Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Hles of Ohio Inc CurrentSince Oct 1, 2009 Accepting new patients
Hles of Ohio Inc CurrentSince Oct 1, 2009 Accepting new patients
Hles of Ohio, Inc. Current Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
FCHC Medical Care, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

6450 Wheatstone Ct
Maumee, OH 43537
Phone (419) 861-2333

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

1190 N Shoop Ave
Wauseon, OH 43567
Phone (419) 335-4600

Interoperability endpoints

  • Direct secure messaging: nizar.daboul.1@19745.direct.athenahealth.com
  • Direct secure messaging: nizar.daboul@toledoclinic.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1770547259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 WHEATSTONE CT",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379402",
            "telephone_number": "419-866-6200",
            "fax_number": "419-866-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 WHEATSTONE CT",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379402",
            "telephone_number": "419-866-6200",
            "fax_number": "419-866-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABOUL",
        "first_name": "NIZAR",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.