Individual provider Active NPI

Gamal Ismail Mashali, MD

  • Pediatric Endocrinology Physician
  • Toledo, OH
National Provider Identifier
1780237933
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
35.145871 Issued in OH
Practice address
2222 Cherry St Ste 2300
Toledo, OH 43608-2675
Phone
(419) 251-8025
NPI assigned
Jul 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 35.145871 OH Primary

Addresses

Primary practice location

2222 Cherry St Ste 2300
Toledo, OH 43608-2675

Mailing address

2222 Cherry St Ste 2300
Toledo, OH 43608-2675
Phone (419) 251-8025

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8025

Other practice location 2

1400 E 2nd St Ste 100
Defiance, OH 43512-9905
Phone (419) 251-8025

Other identifiers 1

IdentifierTypeStateIssuer
0362748MedicaidOH

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
I20220922002719 OH Practitioner - EndocrinologyPractitioner - Pediatric Medicine 3678958956 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1400 E 2nd St
Ste 100
Defiance, OH 43512
Phone (419) 251-6430

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
  • Direct secure messaging: gmashali1368583@direct.bsmhealth.org

Organizations & group practices 2

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1780237933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 2300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082675",
            "telephone_number": "419-251-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 2300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082675",
            "telephone_number": "419-251-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-8025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E 2nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435129905",
            "country_code": "US",
            "telephone_number": "419-251-8025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASHALI",
        "first_name": "GAMAL",
        "middle_name": "ISMAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "OH",
            "license": "35.145871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.