LINA ELSAMALOTY (MD) – Student in an Organized Health Care Education/Training Program, NPI 1467957894
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,805 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for LINA ELSAMALOTY (MD)
2200, Jefferson Avenue, Uptown, Toledo, Lucas County, Ohio, 43604, United States
TOLEDO, OH 436047101
Phone: (419) 251-1400
Fax: (419) 251-4159
Type: Mailing
2200 Jefferson Ave
Toledo, OH 436047101
Phone: (419) 251-1400
Fax: (419) 251-4159
Type: Location
5757 PARK CENTER CT.
TOLEDO, OH 43615
Phone: (419) 474-4064
Fax: (419) 472-2772
Type: Mailing
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 191045127
Phone:
Type: Mailing
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: 2024-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240826000571 | I | Diagnostic Radiology | MI | TBD |
| I20241001002964 | I | Diagnostic Radiology | 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 |
|---|---|---|
| Hospitalist, Internal Medicine | MD | |
| Internal Medicine | MI | |
| Internal Medicine | DC | |
| - | MD | |
| - | CA | |
| - | DC | |
| - | DC | |
| - | DC | |
| - | DC | |
| Critical Care (Intensivists), Internal Medicine | DC |
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