MARK ANTHONY NADDAF (MD) – Pediatric Gastroenterology Physician, NPI 1124142500
Pediatric Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARK ANTHONY NADDAF (MD)
2200 JEFFERSON AVE
4TH FLOOR
TOLEDO, OH 43604
Phone: (419) 251-2673
Fax: (419) 251-0916
Type: Mailing
4126 N Holland Sylvania Rd Ste 220
Toledo, OH 436233537
Phone: (419) 251-4880
Type: Location
605 3rd Ave
Fremont, OH 434203269
Phone: (419) 251-4880
Type: Location
2213 Cherry St
Toledo, OH 436082603
Phone: (567) 290-6543
Type: Location
730 W. High Street
Lima, OH 45801
Phone: (419) 251-4880
Type: Location
500 W Market St
Tiffin, OH 448832610
Phone: (419) 251-8035
Type: Location
1400 E 2nd St
Defiance, OH 435129905
Phone: (419) 251-4880
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Type: Mailing
2222 CHERRY ST
SUITE 1600
TOLEDO, OH 436082673
Phone: (419) 251-4880
Fax: (419) 251-7714
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-01-26
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 |
|---|---|---|---|---|
| I20110126000678 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Physician Assistant | MI | |
| Internal Medicine | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | FL | |
| - | OH | |
| - | OH |
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