MOHAMED A OMBALLI (M.D) – Internal Medicine Physician, NPI 1184867996
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
850 PULMONARY DISEASE in OH
Provider Addresses for MOHAMED A OMBALLI (M.D)
3000 ARLINGTON AVE STOP 1108
TOLEDO, OH 436142595
Phone: (419) 383-5023
Fax: (419) 383-6235
Type: Mailing
1325 CONFERENCE DR
TOLEDO, OH 436148009
Phone: (419) 383-6644
Fax: (419) 383-2924
Type: Location
3333 Glendale Ave Ste 1350
Toledo, OH 436142426
Phone: (419) 383-5614
Fax: (419) 383-5418
Type: Location
2100 W Central Ave Ste 4200
Toledo, OH 436063800
Phone: (567) 420-1600
Fax: (567) 420-1638
Type: Location
5200 Harroun Rd
Sylvania, OH 435602168
Phone: (419) 824-1444
Type: Location
3003 W Good Hope Rd
Milwaukee, WI 532092042
Phone: (414) 352-3100
Type: Location
1658 St Vincents Way Ste 100
Middleburg, FL 320688459
Phone: (904) 602-4481
Fax: (904) 354-1340
Type: Location
4015, Belfort Road, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322163623
Phone: (904) 450-6017
Fax: (904) 450-6041
Type: Mailing
Aurora Health Center, 3003, West Good Hope Road, Town & Country Manor, Glendale, Milwaukee County, Wisconsin, 53209, United States
MILWAUKEE, WI 532092042
Phone: (414) 352-3100
Type: Location
4510 DORR ST
# MS840
TOLEDO, OH 436154040
Phone: (419) 383-5334
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $3,545.
Total Amount is formed as General ($3,545) + Research ($0) + Ownership ($0) = $3,545.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Pulmonx Corporation ($2,117).
Total Amount
$3,545
General + Research + Ownership
Payments
36
Total payment records
General Amount
$3,545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2025-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170124001377 | I | Pulmonary Disease | TX | TBD |
| I20210223002617 | I | Pulmonary Disease | OH | TBD |
| I20251113000980 | I | Pulmonary Disease | MI | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 182 | 98 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 110 | 75 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 83 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 35 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 38 | 36 | $0 |
Insurance plans in this area (ZIP 43614)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P A T H O L O G Y | OH | |
| General Surgery, Critical Care (Intensivists) | MI | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| General Surgery | ME | |
| Vascular Surgery, General Surgery | MN | |
| - | OH |
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