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ZUBIA ALAM M.D.
NPI 1659631638
Internal Medicine - Nephrology in Toledo, OH

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
3065 ARLINGTON AVE STE 2A, TOLEDO, OH 43614(419) 383-5288 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Nov 3, 2025, Apr 29, 2021 and 1 more (4 updates tracked since 2018).

About Zubia Alam M.d. NPPES

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

ZUBIA ALAM M.D. (NPI 1659631638) is an individual nephrology provider in Toledo, Ohio, licensed in Ohio (35.132742) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1659631638
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameZUBIA ALAMCredential: M.D.
Location Address3065 ARLINGTON AVE STE 2AToledo, OH 43614-2570
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2598 · (419) 383-5322
Phone(419) 383-5288
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2012
Enumeration DateMay 23, 2012
Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1659631638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 35.132742
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP02479 (RI)
3065 ARLINGTON AVE STE 2A, Toledo, OH 43614
Open in Google Maps ↗

Secondary Practice Locations 6

Location 12142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 291-4000
Location 2725 S Shoop Ave Ste 103Wauseon, OH 43567-1702 · Phone (419) 337-0004
Location 33333 Glendale Ave Ste 1350Toledo, OH 43614-2426 · Phone (419) 383-5614
Location 42100 W Central Ave Fl 2Toledo, OH 43606-3800 · Phone (567) 420-1600 · Fax (567) 420-1637
Location 51125 Hospital DrToledo, OH 43614-8001 · Phone (419) 383-5288 · Fax (419) 383-2823
Location 65200 Harroun RdSylvania, OH 43560-2168 · Phone (419) 824-1444

Other Identifiers 1

Medicaid0272026OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community and more.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

Zubia Alam 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 ID6305065202
PECOS Enrollment IDI20180413001895
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 8

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 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.
155 services66 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.
79 services49 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.
58 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

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

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

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.
100%51 patients5/55-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.
81%133 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%133 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…
50%133 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.
39%133 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier18 claims5,940 services$1.22 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier17 claims17 services$12.59 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

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

SAMER AKRAWI MD
Internal Medicine (Nephrology)
3065 ARLINGTON AVE STE 2A
TOLEDO, OH 43614
Lucas County (419) 383-5288

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 Zubia Alam's NPI number?

The NPI number for Zubia Alam is 1659631638. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Zubia Alam located?

Zubia Alam practices at 3065 Arlington Ave Ste 2A, Toledo, OH 43614. The listed phone number is (419) 383-5288.

What is Zubia Alam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Zubia Alam enrolled in Medicare?

Yes. Zubia Alam 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 Zubia Alam accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community and Molina Healthcare list Zubia Alam 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 Zubia Alam affiliated with any hospitals?

According to CMS data, Zubia Alam is affiliated with University Of Toledo Medical Center and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Zubia Alam was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.