Individual provider Active NPI

Todd Lowell Sobol, MD

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1972517340
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57235 Issued in OH
Practice address
1250 N National Rd
Suite 400
Dayton, OH 45315-8506
Phone
(937) 836-8063
Fax
(937) 836-8296
NPI assigned
Jul 28, 2006
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 57235 OH Primary

Addresses

Primary practice location

1250 N National Rd
Suite 400
Dayton, OH 45315-8506

Mailing address

1250 N National Rd
Suite 400
Dayton, OH 45315-8506
Phone (937) 836-6000

Other identifiers 2

IdentifierTypeStateIssuer
H323630OtherOHMEDICARE - OHIO
0747151MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tsobol201339@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20100427000731 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0244367019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57235OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Dec 11, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Stein and Sobol, MD Inc Internal Medicine PastSince Jul 1, 1990 Accepting new patients
Camal LLC PastSince Feb 7, 2011 Accepting new patients

Locations

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1972517340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N NATIONAL RD",
            "address_2": "SUITE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "453158506",
            "telephone_number": "937-836-6000",
            "fax_number": "937-832-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N NATIONAL RD",
            "address_2": "SUITE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "453158506",
            "telephone_number": "937-836-8063",
            "fax_number": "937-836-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "TODD",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - OHIO",
            "identifier": "H323630",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747151",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsobol201339@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1250 N National Rd",
            "address_2": "Suite 400",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453158506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1250 N National Rd",
            "address_2": "Suite 400",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453158506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.