Individual provider Active NPI

Mohamed Ayoubi, M.D.

  • Hematology & Oncology Physician
  • Defiance, OH
National Provider Identifier
1962461822
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35.124319 Issued in OH
Practice address
1400 E 2ND St
Defiance, OH 43512-2440
Phone
(419) 784-1414
Fax
(419) 783-2799
NPI assigned
Mar 20, 2006
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L9611 TX
Hematology & Oncology Physician 207RH0003X 35.124319 OH Primary

Addresses

Primary practice location

1400 E 2ND St
Defiance, OH 43512-2440

Mailing address

1400 E 2ND St
Defiance, OH 43512-2440

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
I20220201001655 OH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5294797932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8019

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as individual
Quality
85.33
Promoting interoperability
100
Improvement activities
40
Cost
55.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9611TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Dec 29, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 26, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 26, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Dec 29, 2021 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine Past Accepting new patients
Cogent Healthcare of Michigan PC Internal Medicine Past Accepting new patients
Ramsey Inpatient Physicians PLLC Internal Medicine Past Accepting new patients
Texas Em-I Medical Services, PA Internal Medicine Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1426 Scott St
Napoleon, OH 43545
Phone (419) 599-5600

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

3851 Navarre Ave
Ste 250
Oregon, OH 43616
Phone (419) 251-8019

12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434

27 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-3486

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

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

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

3404 W Sylvania Ave
Fl 2
Toledo, OH 43623
Phone (419) 407-1178

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

1100 Neal Zick Rd
Fl 2
Willard, OH 44890

Interoperability endpoints

  • Direct secure messaging: mayoubi1034994@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1962461822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-784-1414",
            "fax_number": "419-783-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUBI",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9611",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35.124319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.