DR. MIRZA MOAZZAM-ALI BAIG (M.D.) – Urology Physician, NPI 1003943879
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
568 UROLOGY in OH
Provider Addresses for DR. MIRZA MOAZZAM-ALI BAIG (M.D.)
3020 N MCCORD RD
SUITE 100
TOLEDO, OH 436151702
Phone: (419) 725-6850
Fax: (419) 725-6853
Type: Mailing
3355 MEIJER DR
TOLEDO, OH 436173102
Phone: (419) 725-6850
Fax: (419) 725-6853
Type: Location
611 Fulton St Ste A
Port Clinton, OH 434522008
Phone: (419) 725-6850
Fax: (419) 725-6853
Type: Location
1200 Medical Center Pkwy
Maumee, OH 435371921
Phone: (419) 725-6850
Fax: (419) 725-6853
Type: Location
4235 SECOR RD
TOLEDO, OH 436234299
Phone: (419) 473-3561
Fax: (419) 479-5593
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $195.
Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Boston Scientific Corporation ($95).
Total Amount
$195
General + Research + Ownership
Payments
8
Total payment records
General Amount
$195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070626000594 | I | Urology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 347 | 267 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 322 | 281 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 124 | 107 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 108 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 87 | 87 | $0 |
Insurance plans in this area (ZIP 43615)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Orthopedic Surgery | OH | |
| Nurse Practitioner | OH |
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