Mohamed Ayoubi, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Defiance, OH
NPI 1962461822 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1962461822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 35.124319 (OH)
- Practice address
- 1400 E 2ND St
Defiance, OH 43512-2440 - Phone
- (419) 784-1414
- Fax
- (419) 783-2799
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health Physicians North Specialty Care LLC
Practice addresses (Care Compare)
2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8019
Hospital & facility affiliations
- Mercy St Vincent Medical Center
- Mercy Health - Tiffin Hospital
- Mercy Health - Willard Hospital
- Blanchard Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.26 of 100
- Quality
- 85.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220201001655 | OH | Practitioner - Hematology/Oncology |
5294797932 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9611 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Partners Northern Region Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current |
Accepting new patients | |
| Texas Em-I Medical Services, PA | Internal Medicine | Past | Accepting new patients |
| Quantum Emergency Physicians PA | Internal Medicine | Past | Accepting new patients |
| Ramsey Inpatient Physicians PLLC | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of Michigan PC | Internal Medicine | Past | Accepting new patients |
Locations
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774
1426 Scott St
Napoleon, OH 43545
Phone (419) 599-5600
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
3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
3404 W Sylvania Ave
Fl 2
Toledo, OH 43623
Phone (419) 407-1178
1100 Neal Zick Rd
Fl 2
Willard, OH 44890
Interoperability endpoints
- mayoubi1034994@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L9611 | TX | |
| Hematology & Oncology Physician | 207RH0003X | 35.124319 | OH | Yes |
Addresses
Primary practice location
1400 E 2ND St
Defiance, OH 43512-2440
Mailing address
1400 E 2ND St
Defiance, OH 43512-2440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8U1466 | Other | TX | BLUE SHIELD |
Other providers in Defiance, OH
- Megan E Ashbacher
- Assisted Living Concepts Inc
- James Robert Atwell
- Donna J Augustine
- Ayersville Local SD
- Michelle A. Bacon
- Logan Bailey
- Chloe LJ Baker
- Sarah N Baker
- Tiffany F Baker
All providers in Defiance, OH · Hematology & Oncology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.