DR. NELSON NICOLASORA M.D.
NPI 1407974959
Internal Medicine - Infectious Disease in Toledo, OH
About Dr. Nelson Nicolasora M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NELSON NICOLASORA M.D. (NPI 1407974959) is an individual infectious disease provider in Toledo, Ohio, licensed in Ohio (35091813) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nelson Nicolasora 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.
Medicare Billing Reassignment
Medicare enrollment records show Nelson Nicolasora reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 553 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TOLEDO, OH 43608
TOLEDO, OH 43608
TOLEDO, OH 43608
TOLEDO, OH 43608
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 Nelson Nicolasora's NPI number?
The NPI number for Nelson Nicolasora is 1407974959. It was assigned to this individual provider in the NPPES registry on March 26, 2007.
Where is Nelson Nicolasora located?
Nelson Nicolasora practices at 2222 Cherry St Suite 1400, Toledo, OH 43608. The listed phone number is (419) 251-4787.
What is Nelson Nicolasora's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Nelson Nicolasora enrolled in Medicare?
Yes. Nelson Nicolasora 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.
Which organization bills Medicare for Nelson Nicolasora's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Nicolasora reassigns Medicare benefits to Banner - University Physician Specialists LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nelson Nicolasora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nelson Nicolasora accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Nelson Nicolasora 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.
When was this NPI record last updated?
The NPPES record for Nelson Nicolasora was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Nelson Nicolasora, M.D. · NPI 1407974959
Infectious Disease physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1407974959 (Entity type: Individual)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 35091813 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2222 CHERRY ST, SUITE 1400, Toledo, OH 43608-2673
- **Phone:** (419) 251-4787 · **Fax:** (419) 251-7817
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner - University Physician Specialists LLC (NPI 1417312760, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** October 17, 2012
- **Other identifiers:** Medicare PIN 4241571; Medicaid 2853907 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1407974959) · Data from the CMS NPPES public registry.