NPIMap

Individual provider Active NPI

Youssef Hazimah, MD

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1881679140
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35051925 Issued in OH
Practice address
5800 Park Center CT
#A
Toledo, OH 43615-0710
Phone
(419) 841-1600
Fax
(419) 841-4181
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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 35051925 OH Primary

Addresses

Primary practice location

5800 Park Center CT
#A
Toledo, OH 43615-0710

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 473-3561

Other identifiers 2

IdentifierTypeStateIssuer
0640319MedicaidOH
110018340OtherOHRAILROAD MEDICARE

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
I20071120000426 OH Practitioner - Internal Medicine 2365530631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
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)

3830 Woodley Rd
Toledo, OH 43606-1177

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

6800 W Central Ave
Suite K
Toledo, OH 43617-1135
Phone (419) 841-1510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051925OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Sep 26, 2008 Accepting new patients
Toledo Clinic Incorporated Internal Medicine CurrentSince Sep 26, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Doumet Medical LTD Internal Medicine Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Youssef Hazimah MD Internal Medicine PastSince Oct 1, 1985 Accepting new patients

Locations

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

5800 Park Center Ct
Ste A
Toledo, OH 43615
Phone (419) 841-1600

3830 Woodley Rd
Ste C
Toledo, OH 43606
Phone (419) 841-1600

Interoperability endpoints

  • Direct secure messaging: youssef.hazimah@toledoclinic.eclinicaldirectplus.com

Organizations & group practices 8

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.

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1881679140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-473-3561",
            "fax_number": "419-841-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 PARK CENTER CT",
            "address_2": "#A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436150710",
            "telephone_number": "419-841-1600",
            "fax_number": "419-841-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZIMAH",
        "first_name": "YOUSSEF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35051925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0640319",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110018340",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.