Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nelson Nicolasora, MD

Individual provider Internal Medicine Physician · NPI 1407974959

Dr. Nelson Nicolasora, MD is an Infectious Disease in Toledo, Ohio. Qualified in 1996, 30 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
30
Licensed in
MI, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2222 Cherry St Ste 1400
Toledo, OH 43608-2673
Phone: (419) 251-4787
Fax: (419) 251-7817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 35091813 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301088708 (MI)

Record details

NPI number1407974959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESOctober 17, 2012
Mailing address2222 Cherry St, Suite 1400, Toledo, OH 43608-2673

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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