MOHAMED A OMBALLI M.D
NPI 1184867996
Internal Medicine - Pulmonary Disease in Toledo, OH

Active since April 08, 2009PECOS EnrolledAccepts Medicare Assignment
1325 CONFERENCE DR, TOLEDO, OH 43614(419) 383-6644(419) 383-2924 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2021, Mar 15, 2021, Jul 16, 2020 and 2 more (5 updates tracked since 2016).

About Mohamed A Omballi M.d NPPES

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

MOHAMED A OMBALLI M.D (NPI 1184867996) is an individual pulmonary disease provider in Toledo, Ohio, licensed in Ohio (35.140884) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1184867996
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMOHAMED A OMBALLICredential: M.D
Location Address1325 CONFERENCE DRToledo, OH 43614-8009
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595 · (419) 383-5023 · Fax (419) 383-6235
Fax(419) 383-2924
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 8, 2009
Last NPPES UpdateOctober 30, 20255 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
NPI 1184867996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in OH · 35.140884 Licensed in TX · Q9220 Licensed in FL · ME139906 Licensed in WI · 55410
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.205534 (LA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME139906 (FL), 35.140884 (OH)
Also ListedHospitalistTaxonomy 208M00000X · License MD.205534 (LA)
1325 CONFERENCE DR, Toledo, OH 43614

Secondary Practice Locations 5

Location 13333 Glendale Ave Ste 1350Toledo, OH 43614-2426 · Phone (419) 383-5614 · Fax (419) 383-5418
Location 22100 W Central Ave Ste 4200Toledo, OH 43606-3800 · Phone (567) 420-1600 · Fax (567) 420-1638
Location 35200 Harroun RdSylvania, OH 43560-2168 · Phone (419) 824-1444
Location 43003 W Good Hope RdMilwaukee, WI 53209-2042 · Phone (414) 352-3100
Location 51658 St Vincents Way Ste 100Middleburg, FL 32068-8459 · Phone (904) 602-4481 · Fax (904) 354-1340

Other Identifiers 2

Medicaid0433282OH
Medicaid1184867996WI

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

Mohamed A Omballi M.d 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 ID3577791433
PECOS Enrollment IDI20210223002617, I20251113000980
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 17

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.
110 services56 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.
100 services53 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
66 services60 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
47 services47 patients
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652
This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.
40 services38 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.
33 services31 patients

Hospital Affiliations CMS Care Compare 4

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

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

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

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$61.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Medical Oncology)
1325 CONFERENCE DR
TOLEDO, OH 43614
Pharmacist (Oncology)
1325 CONFERENCE DR
TOLEDO, OH 43614
Student in an Organized Health Care Education/Training Program
1325 CONFERENCE DR
TOLEDO, OH 43614
Internal Medicine (Hematology & Oncology)
1325 CONFERENCE DR
TOLEDO, OH 43614
Internal Medicine (Hematology & Oncology)
1325 CONFERENCE DR
TOLEDO, OH 43614
Nurse Practitioner (Family)
1325 CONFERENCE DR
TOLEDO, OH 43614
Internal Medicine (Hematology & Oncology)
1325 CONFERENCE DR
TOLEDO, OH 43614
Neurological Surgery
1325 CONFERENCE 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 Mohamed Omballi's NPI number?

The NPI number for Mohamed Omballi is 1184867996. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Mohamed Omballi located?

Mohamed Omballi practices at 1325 Conference Dr, Toledo, OH 43614. The listed phone number is (419) 383-6644.

What is Mohamed Omballi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohamed Omballi enrolled in Medicare?

Yes. Mohamed Omballi 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 Mohamed Omballi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Mohamed Omballi 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 Mohamed Omballi affiliated with any hospitals?

According to CMS data, Mohamed Omballi is affiliated with University Of Toledo Medical Center, Mercy Health-St Rita's Medical Center, Promedica Toledo Hospital and Blanchard Valley Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Omballi was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.