ZOHEIR A ABDELBAKI MD
NPI 1396818571
Nuclear Medicine - Nuclear Cardiology in Lima, OH

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
82.83/100
CMS Quality Rating
730 W MARKET ST, 2K TOWER, LIMA, OH 45801(419) 996-5852(419) 996-5854 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zoheir A Abdelbaki Md NPPES

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

ZOHEIR A ABDELBAKI MD (NPI 1396818571) is an individual nuclear cardiology provider in Lima, Ohio, licensed in Ohio (35081370) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1396818571
Entity TypeIndividualMale
Primary Taxonomy207UN0901X
Provider Legal NameZOHEIR A ABDELBAKICredential: MD
Location Address730 W MARKET ST, 2K TOWERLima, OH 45801-4602
Mailing AddressPo Box 636930Cincinnati, OH 45263-0001 · (513) 981-5015
Fax(419) 996-5854
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 15, 2015
NPI 1396818571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNuclear Medicine · Nuclear CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0901X
License Licensed in OH · 35081370
Definition

A nuclear medicine physician who specializes in nuclear cardiology.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35081370 (OH)
730 W MARKET ST, Lima, OH 45801

Other Identifiers 7

Medicare PIN9339881OH
Medicare PIN9339883OH
Medicare PINAB4088448OH
Medicare PINAB4088447OH
Medicare PINAB4088449OH
Medicare UPINH66882OH
Medicaid2345322OH

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

Zoheir A Abdelbaki Md 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 ID2365344918
PECOS Enrollment IDI20040127001216
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 41

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
3,235 services1,790 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.
1,279 services1,144 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
1,228 services1,205 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.
1,088 services1,077 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,046 services1,015 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
659 services306 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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.

82.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.9
Promoting Interoperability100
Improvement Activities40
Cost55.03

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
93%30 patients4/55-star benchmark: 100%
Breast Cancer Screening
55%1,159 patients3/55-star benchmark: 93%
Cervical Cancer Screening
40%560 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
28%29 patients
Closing the Referral Loop: Receipt of Specialist Report
18%344 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
58%3,010 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
70%3,114 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
25%871 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%871 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%8,095 patients4/55-star benchmark: 100%
e-Prescribing
98%3,458 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
61%3,764 patients3/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
81%113 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%5,633 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
40%4,205 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%3,182 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 1,360 patients
Patients screened: 87% · 1,360 patients
58%125 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,068 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%4,495 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 3,833 patients
Patients totalRate: 15% · 3,833 patients
14%3,833 patients3/55-star benchmark: 100%
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.

Internal Medicine
730 W MARKET ST
LIMA, OH 45801
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Perfusionist
730 W MARKET ST
LIMA, OH 45801
Nurse Practitioner
730 W MARKET ST
LIMA, OH 45801
Pathology (Anatomic Pathology & Clinical Pathology)
730 W MARKET ST
LIMA, OH 45801
Pharmacist
730 W MARKET ST
LIMA, OH 45801

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 Zoheir Abdelbaki's NPI number?

The NPI number for Zoheir Abdelbaki is 1396818571. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Zoheir Abdelbaki located?

Zoheir Abdelbaki practices at 730 W Market St 2K Tower, Lima, OH 45801. The listed phone number is (419) 996-5852.

What is Zoheir Abdelbaki's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Is Zoheir Abdelbaki enrolled in Medicare?

Yes. Zoheir Abdelbaki 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 Zoheir Abdelbaki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Zoheir Abdelbaki 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 Zoheir Abdelbaki affiliated with any hospitals?

According to CMS data, Zoheir Abdelbaki is affiliated with Lima Memorial Health System, Wilson Memorial Hospital, Grand Lake Health System, Mercer County Joint Township Community Hospital and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Zoheir Abdelbaki was last updated on April 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.