NPIMap

Individual provider Active NPI

Kamal Chaban, M.D.

  • Pulmonary Disease Physician
  • Galion, OH
National Provider Identifier
1851330823
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.063858 Issued in OH
Practice address
269 Portland Way S
Galion, OH 44833-2312
Phone
(419) 468-4841
NPI assigned
Jun 5, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.063858 OH
Pulmonary Disease Physician 207RP1001X 35.063858 OH Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35.063858 OH

Addresses

Primary practice location

269 Portland Way S
Galion, OH 44833-2312

Mailing address

700 N Columbus St
Crestline, OH 44827-1455

Other practice location 1

703 Tyler St Ste 251
Sandusky, OH 44870-3390
Phone (419) 609-7506

Other practice location 2

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Other practice location 3

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

Other identifiers 3

IdentifierTypeStateIssuer
290013864OtherOHMEDICARE RAILROAD
3025372MedicaidOH
2006608MedicaidOH

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
I20070727000062 OH Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9537063995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

703 Tyler St
Suite 251
Sandusky, OH 44870-3390
Phone (419) 609-7506

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bucyrus Community Hospital LLC Past Accepting new patients
Galion Community Hospital Past Accepting new patients
Avita Ontario Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://ihismufhir.osumc.edu/fhir-prd/api/FHIR/R4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1851330823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 PORTLAND WAY S",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332312",
            "telephone_number": "419-468-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Tyler St Ste 251",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703390",
            "country_code": "US",
            "telephone_number": "419-609-7506",
            "fax_number": "419-609-1826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Richland Mall",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449063802",
            "country_code": "US",
            "telephone_number": "567-307-7557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 N Sandusky Ave",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201821",
            "country_code": "US",
            "telephone_number": "419-562-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHABAN",
        "first_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.063858",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.063858",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35.063858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "290013864",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006608",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

Verify at the official NPI Registry.