Individual provider Active NPI

Mohammed Mazen Mohammed Abdalkarim, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Toledo, OH
National Provider Identifier
1851149116
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
57.256722 Issued in OH
Practice address
2100 W. Central Ave.
The University of Toledo, Suite 200.
Toledo, OH 43606
Phone
(567) 420-1600
Fax
(567) 420-1630
NPI assigned
May 10, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57.256722 OH Primary

Addresses

Primary practice location

2100 W. Central Ave.
The University of Toledo, Suite 200.
Toledo, OH 43606

Mailing address

2100 W. Central Ave.
The University of Toledo, Suite 200.
Toledo, OH 43606
Phone (567) 420-1600

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
I20241030004225 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6709319692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.256722OHMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1851149116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W. CENTRAL AVE.",
            "address_2": "THE UNIVERSITY OF TOLEDO, SUITE 200.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "567-420-1600",
            "fax_number": "567-420-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W. CENTRAL AVE.",
            "address_2": "THE UNIVERSITY OF TOLEDO, SUITE 200.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "567-420-1600",
            "fax_number": "567-420-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALKARIM",
        "first_name": "MOHAMMED",
        "middle_name": "MAZEN MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.256722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.