NASIM MASTOURI – Nephrology Physician, NPI 1710121132
Nephrology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
547 NEPHROLOGY in OH
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Provider Addresses for NASIM MASTOURI
1005, Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States
SUITE 230
LIMA, OH 458042851
Phone: (419) 998-8255
Fax: (419) 226-8335
Type: Location
Lima Memorial Hospital, 1001, Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States
LIMA, OH 458042800
Phone: (419) 998-4575
Fax: (419) 998-4586
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $2,776.
Total Amount is formed as General ($2,776) + Research ($0) + Ownership ($0) = $2,776.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($338).
Total Amount
$2,776
General + Research + Ownership
Payments
121
Total payment records
General Amount
$2,776
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
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: 2012-10-08
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 |
|---|---|---|---|---|
| I20121008000408 | I | Nephrology | 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 | 642 | 352 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 274 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 189 | 162 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 73 | 52 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 59 | 21 | $0 |
Insurance plans in this area (ZIP 45804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | OH | |
| - | OH | |
| - | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | SD | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| U R O L O G Y | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH |
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