Nasim Mastouri, - Medicare Nephrology in Lima, OH

Nasim Mastouri, is a medicare enrolled "Internal Medicine - Nephrology" physician in Lima, Ohio. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Lima Memorial Professional Corporation and her current practice location is 1005 Bellefontaine Ave, Suite 230, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 998-8255.

Nasim Mastouri is licensed to practice in Ohio (license number 35.120131) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710121132.

Contact Information

Nasim Mastouri,
1005 Bellefontaine Ave, Suite 230,
Lima, OH 45804-2851
(419) 998-8255
(419) 226-8335



Physician's Profile

Full NameNasim Mastouri
GenderFemale
SpecialityNephrology
Experience23 Years
Location1005 Bellefontaine Ave, Lima, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nasim Mastouri graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1710121132
  • Provider Enumeration Date: 04/29/2009
  • Last Update Date: 01/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072762061
  • Enrollment ID: I20121008000408

Medical Identifiers

Medical identifiers for Nasim Mastouri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710121132NPI-NPPES
0072864MedicaidOH
3810024141MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 35.120131 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - Van Wert DialysisVan wert, OHDialysis facility
Fresenius Kidney Care LimaLima, OHDialysis facility
Lima Memorial Health SystemLima, OHHospital
Grand Lake Health SystemSaint marys, OHHospital
Wilson Memorial HospitalSidney, OHHospital
Van Wert County HospitalVan wert, OHHospital
Mercer County Joint Township Community HospitalColdwater, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lima Memorial Professional Corporation1254232184135

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nasim Mastouri allows following entities to bill medicare on her behalf.
Entity NameLima Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457474900
PECOS PAC ID: 1254232184
Enrollment ID: O20040115000131

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Entity NameApogee Medical Group Ohio Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477500999
PECOS PAC ID: 8224082292
Enrollment ID: O20050311000733

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nasim Mastouri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nasim Mastouri,
1001 Bellefontaine Ave,
Lima, OH 45804-2800

Ph: (419) 998-4575
Nasim Mastouri,
1005 Bellefontaine Ave, Suite 230,
Lima, OH 45804-2851

Ph: (419) 998-8255

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Internal Medicine Doctors in Lima, OH

Deena M Hassuna, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 825 W Market St Ste 260, Lima, OH 45805
Phone: 199-964-0034    Fax: 419-996-5276
Mr. Tariq I Sheikh, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2793 Shawnee Rd, Lima, OH 45806
Phone: 419-227-8209    Fax: 419-222-6007
Dr. Eliyazar Gaddam, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 951 Commerce Pkwy, Suite 100, Lima, OH 45804
Phone: 419-224-5915    Fax: 419-224-5918
Pratap Balusu, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 750 W High St, Ste 250, Lima, OH 45801
Phone: 419-227-7399    Fax: 419-229-0123
Mr. Charles W Brunelle, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 375 N Eastown Rd, Lima, OH 45807
Phone: 419-228-3500    Fax: 419-228-6700
Norman Otis Moser, D.O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 750 W High St, Suite 150, Lima, OH 45801
Phone: 419-227-1359    Fax: 419-227-7586
Yaser Hamwi, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 730 W Market St, Lima, OH 45801
Phone: 419-226-4310    Fax: 419-226-4315

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