DR. NEZAM IBRAHIM ALTOROK
NPI 1154585115
Internal Medicine - Rheumatology in Toledo, OH

Active since July 17, 2008PECOS EnrolledAccepts Medicare Assignment
3125 TRANSVERSE DR, TOLEDO, OH 43614(419) 383-3780(419) 383-3269 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2017, Jun 13, 2017 (2 updates tracked since 2017).

About Dr. Nezam Ibrahim Altorok NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NEZAM IBRAHIM ALTOROK (NPI 1154585115) is an individual rheumatology provider in Toledo, Ohio, licensed in Ohio (35121127) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Wood County Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154585115
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NEZAM IBRAHIM ALTOROK
Location Address3125 TRANSVERSE DRToledo, OH 43614-8008
Mailing Address3355 Glendale Ave, 3rd FloorToledo, OH 43614-2426 · (419) 383-3780 · Fax (419) 383-3269
Fax(419) 383-3269
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 17, 2008
Last NPPES UpdateDecember 14, 20172 updates tracked since enumeration
NPI 1154585115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in OH · 35121127
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35121127 (OH)
3125 TRANSVERSE DR, Toledo, OH 43614

Other Names 1

Other Name (5)Nezam Ibrahim Torok Md

Other Identifiers 1

Other35121127OH · Ohio License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nezam Ibrahim Altorok is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466693270
PECOS Enrollment IDI20130719000752
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
214 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
191 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services35 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360029
Location950 West Wooster StreetBowling Green, OH 43402 · Wood County
Emergency services Birthing friendly

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,841 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
60%158 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%234 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%989 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%989 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
47%989 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
42%989 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3125 TRANSVERSE DR
TOLEDO, OH 43614
Pharmacist
3125 TRANSVERSE DR, RM 1341, SUITE M
TOLEDO, OH 43614
Student in an Organized Health Care Education/Training Program
3125 TRANSVERSE DR
TOLEDO, OH 43614
Student in an Organized Health Care Education/Training Program
3125 TRANSVERSE DR
TOLEDO, OH 43614
Pharmacy (Clinic Pharmacy)
3125 TRANSVERSE DR, ROOM 1341, SUITE M
TOLEDO, OH 43614
Counselor (Professional)
3125 TRANSVERSE DR
TOLEDO, OH 43614
Student in an Organized Health Care Education/Training Program
3125 TRANSVERSE DR
TOLEDO, OH 43614
Internal Medicine (Pulmonary Disease)
3125 TRANSVERSE DR
TOLEDO, OH 43614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nezam Altorok's NPI number?

The NPI number for Nezam Altorok is 1154585115. It was assigned to this individual provider in the NPPES registry on July 17, 2008. The provider is also known as Nezam Ibrahim Torok MD.

Where is Nezam Altorok located?

Nezam Altorok practices at 3125 Transverse Dr, Toledo, OH 43614. The listed phone number is (419) 383-3780.

What is Nezam Altorok's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nezam Altorok enrolled in Medicare?

Yes. Nezam Altorok is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nezam Altorok accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Nezam Altorok as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nezam Altorok affiliated with any hospitals?

According to CMS data, Nezam Altorok is affiliated with Wood County Hospital, University Of Toledo Medical Center, Promedica Toledo Hospital, Blanchard Valley Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Nezam Altorok was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.