Individual provider Active NPI

Osama O Zaidat, MD

  • Vascular Neurology Physician
  • Toledo, OH
National Provider Identifier
1972555472
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
35.070657 Issued in OH
Practice address
2222 Cherry St
Suite M200
Toledo, OH 43608-2673
Phone
(419) 251-8019
Fax
(419) 251-5819
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 35.070657 OH Primary
Neurology Physician 2084N0400X 35070657 OH

Addresses

Primary practice location

2222 Cherry St
Suite M200
Toledo, OH 43608-2673

Mailing address

2200 Jefferson Ave
Toledo, OH 43604-7101

Other identifiers 2

IdentifierTypeStateIssuer
2029183MedicaidOH
1972555472MedicaidWI

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
I20151109000805 OH Practitioner - Neurology 5799712212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
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

2222 Cherry St
Suite M200
Toledo, OH 43608-2674
Phone (419) 475-9431

2600 Navarre Ave
Oregon, OH 43616-3207
Phone (419) 696-8877

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2663

3900 Sunforest CT
Suite 240
Toledo, OH 43623-4481
Phone (419) 475-1600

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-8501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.070657OHMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians - North, LLC CurrentSince Sep 30, 2015 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Sep 30, 2015 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
University Neurologists Association,Inc Neurology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
North East Ohio Group Practice LLC Past Accepting new patients

Locations

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

2222 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-1155

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3425 Executive Pkwy
Ste 210
Toledo, OH 43606
Phone (419) 251-2360

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

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

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

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 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1972555472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "address_2": "SUITE M200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-8019",
            "fax_number": "419-251-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDAT",
        "first_name": "OSAMA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OH",
            "license": "35.070657",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35070657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029183",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972555472",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.