NPIMap

Individual provider Active NPI

Nina Alsabbagh, MD

  • Nephrology Physician
  • Toledo, OH
National Provider Identifier
1952376816
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
77100 Issued in OH
Practice address
2109 Hughes Dr
Ste 920
Toledo, OH 43606-3856
Phone
(419) 479-2650
Fax
(419) 479-2655
NPI assigned
Feb 22, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 77100 OH Primary

Addresses

Primary practice location

2109 Hughes Dr
Ste 920
Toledo, OH 43606-3856

Mailing address

2109 Hughes Dr
Ste 920
Toledo, OH 43606-3856
Phone (419) 479-2650

Other identifiers 3

IdentifierTypeStateIssuer
2139993MedicaidOH
03527OtherPARAMOUNT
000000137371OtherANTHEM BCBS

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
I20120412000589 OH Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7719894633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians
Nephrology Consultants of Northwest Ohio, IncGroup PAC ID 0941197172, 10 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Suite 760
Toledo, OH 43606-5111
Phone (419) 291-7555

7644 Kings Pointe Rd
Toledo, OH 43617-1500
Phone (419) 479-2650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77100OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Apr 23, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Apr 23, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2109 Hughes Dr
Toledo, OH 43606
Phone (419) 291-7222

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2109 Hughes Dr
Ste 760
Toledo, OH 43606
Phone (419) 291-7555

2109 Hughes Dr
Ste 920
Toledo, OH 43606
Phone (419) 479-2650

Organizations & group practices 4

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 7

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1952376816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR",
            "address_2": "STE 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063856",
            "telephone_number": "419-479-2650",
            "fax_number": "419-479-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR",
            "address_2": "STE 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063856",
            "telephone_number": "419-479-2650",
            "fax_number": "419-479-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSABBAGH",
        "first_name": "NINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "77100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2139993",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "03527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000137371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.