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MOHAMAD EL ZEIN M.D.
NPI 1861874455
Internal Medicine - Gastroenterology in Oregon, OH

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
2751 BAY PARK DR STE 130, OREGON, OH 43616(419) 690-7622(419) 690-7624 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2026, Aug 1, 2024, Aug 10, 2021 (3 updates tracked since 2021).

About Mohamad El Zein M.d. NPPES

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

MOHAMAD EL ZEIN M.D. (NPI 1861874455) is an individual gastroenterology provider in Oregon, Ohio, licensed in Ohio (35.155792) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Wesley Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861874455
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMOHAMAD EL ZEINCredential: M.D.
Location Address2751 BAY PARK DR STE 130Oregon, OH 43616-4922
Mailing Address2751 Bay Park Dr Ste 130Oregon, OH 43616-4922
Phone(419) 690-7622
Fax(419) 690-7624
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 19, 2015
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1861874455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 35.155792
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2751 BAY PARK DR STE 130, Oregon, OH 43616
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mohamad El Zein 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 ID1153626833
PECOS Enrollment IDI20240716000491
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.

Medicare Billing Reassignment

Medicare enrollment records show Mohamad El Zein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promedica Central Physicians
3.4 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964

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 10

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.

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.
75 services75 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.
59 services46 patients
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.
41 services27 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services38 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
38 services38 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick 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

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43616 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.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.21
Promoting Interoperability98
Improvement Activities40
Cost73.2

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 Mohamad El Zein's NPI number?

The NPI number for Mohamad El Zein is 1861874455. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Mohamad El Zein located?

Mohamad El Zein practices at 2751 Bay Park Dr Ste 130, Oregon, OH 43616. The listed phone number is (419) 690-7622.

What is Mohamad El Zein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mohamad El Zein enrolled in Medicare?

Yes. Mohamad El Zein 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 Mohamad El Zein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamad El Zein reassigns Medicare benefits to Promedica Central Physicians (Toledo, OH). 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 Mohamad El Zein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamad El Zein accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mohamad El Zein 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 Mohamad El Zein affiliated with any hospitals?

According to CMS data, Mohamad El Zein is affiliated with Wesley Medical Center, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Mohamad El Zein was last updated on April 2, 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.