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DR. JUDY DABOUL MD
NPI 1245812007
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 22, 2021PECOS Enrolled
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, 3RD FLOOR, COLUMBUS, OH 43210(614) 293-3989(614) 293-9789 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judy Daboul Md NPPES

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

DR. JUDY DABOUL MD (NPI 1245812007) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245812007
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JUDY DABOULCredential: MD
Location AddressTHE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, 3RD FLOORColumbus, OH 43210-1267
Mailing AddressThe Ohio State University Wexner Medical Center, 395 W 12th Avenue, 3rd FloorColumbus, OH 43210 · (614) 293-3989 · Fax (614) 293-9789
Phone(614) 293-3989
Fax(614) 293-9789
Sole ProprietorNo
Enumeration DateApril 22, 2021
NPPES CertifiedMarch 28, 2021
✔ NPI 1245812007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, Columbus, OH 43210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Judy Daboul Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MONTANA SHEA OSLER MD
Student in an Organized Health Care Education/Training Program
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, THIRD FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-3989
MR. MARK PATRICK ORTENZIO M.D.
Student in an Organized Health Care Education/Training Program
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, THIRD FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-3989
DR. HONG TAO LIN MD
Internal Medicine
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, THIRD FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-3989
DANIEL GAO MD
Student in an Organized Health Care Education/Training Program
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, THIRD FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-3989
SIMON GORDON KEEP MD
Student in an Organized Health Care Education/Training Program
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, THIRD FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-3989
OUMOU FOFANA
Student in an Organized Health Care Education/Training Program
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE
COLUMBUS, OH 43210
Franklin County (614) 293-3989
CAMERON DONALD BRUNER MD
Ophthalmology
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVE, THIRD FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-3989
DR. SADAF CHAUGLE MD
Anesthesiology
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVE, THIRD FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-3989

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 Judy Daboul's NPI number?

The NPI number for Judy Daboul is 1245812007. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Judy Daboul located?

Judy Daboul practices at The Ohio State University Wexner Medical Center 395 W 12th Avenue, 3rd Floor, Columbus, OH 43210. The listed phone number is (614) 293-3989.

What is Judy Daboul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Judy Daboul enrolled in Medicare?

Yes. Judy Daboul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judy Daboul was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.