DR. NIZAR Y DABOUL M.D
NPI 1770547259
Internal Medicine in Maumee, OH

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
6450 WHEATSTONE CT, MAUMEE, OH 43537(419) 866-6200(419) 866-7170 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nizar Y Daboul M.d NPPES

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

DR. NIZAR Y DABOUL M.D (NPI 1770547259) is an individual internal medicine provider in Maumee, Ohio, licensed in Ohio (35072198) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wood County Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1770547259
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIZAR Y DABOULCredential: M.D
Location Address6450 WHEATSTONE CTMaumee, OH 43537-9402
Mailing Address6450 Wheatstone CtMaumee, OH 43537-9402 · (419) 866-6200 · Fax (419) 866-7170
Fax(419) 866-7170
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 13, 2006
Last NPPES UpdateMay 9, 2016
NPI 1770547259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35072198
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6450 WHEATSTONE CT, Maumee, OH 43537

Other Identifiers 3

Medicaid2008562OH
Medicare UPING44901OH
Medicare PINH314910OH

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

Dr. Nizar Y Daboul 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 ID8224044235
PECOS Enrollment IDI20090505000007
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 22

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.

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.
637 services241 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
231 services33 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
173 services173 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
155 services98 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
154 services97 patients

Hospital Affiliations CMS Care Compare 3

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

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360029
Location950 West Wooster StreetBowling Green, OH 43402 · Wood 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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers49 claims114 services$5.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims20 services$1.10 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims16 services$29.08 avg. paid by Medicare
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 suppliers30 claims30 services$61.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.15 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 3

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

Nurse Practitioner
6450 WHEATSTONE CT
MAUMEE, OH 43537
Internal Medicine
6450 WHEATSTONE CT
MAUMEE, OH 43537
Internal Medicine
6450 WHEATSTONE CT
MAUMEE, OH 43537

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 Nizar Daboul's NPI number?

The NPI number for Nizar Daboul is 1770547259. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Nizar Daboul located?

Nizar Daboul practices at 6450 Wheatstone Ct, Maumee, OH 43537. The listed phone number is (419) 866-6200.

What is Nizar Daboul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nizar Daboul enrolled in Medicare?

Yes. Nizar Daboul 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 Nizar Daboul 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 Nizar Daboul 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 Nizar Daboul affiliated with any hospitals?

According to CMS data, Nizar Daboul is affiliated with Wood County Hospital, Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Nizar Daboul was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.