Individual provider Active NPI

Deepa Mukundan, M.D.

  • Pediatric Infectious Diseases Physician
  • Toledo, OH
National Provider Identifier
1023111200
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
35-088176 Issued in OH
Practice address
3125 Transverse Dr Ste M
Toledo, OH 43614-8008
Phone
(419) 383-6843
Fax
(419) 383-3338
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.088176 OH
Pediatric Infectious Diseases Physician 2080P0208X 35-088176 OH Primary

Addresses

Primary practice location

3125 Transverse Dr Ste M
Toledo, OH 43614-8008

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322

Other practice location 1

2222 Cherry St Ste 2000
Toledo, OH 43608-2673
Phone (419) 251-8065

Other practice location 2

2150 W Central Ave Fl 2
Toledo, OH 43606-3834
Phone (419) 291-5599

Other identifiers 1

IdentifierTypeStateIssuer
2694731MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000138 OH Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 9234218272 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-088176OHMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Northwest Pediatric Specialists, LLC Pediatrics CurrentSince Mar 1, 2022 Accepting new patients
University of Toledo Physicians LLC Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Mercy Health Physicians-North LLC Pediatrics CurrentSince Mar 28, 2011 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Mar 28, 2011 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3125 Transverse Dr
Toledo, OH 43614
Phone (419) 383-3771

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

2213 Cherry St
Fl 6
Toledo, OH 43608
Phone (419) 251-4993

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2222 Cherry St
Ste 2000
Toledo, OH 43608
Phone (419) 251-8015

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2150 W Central Ave
Fl 2
Toledo, OH 43606
Phone (419) 291-5599

3125 Transverse Dr
Ste M
Toledo, OH 43614
Phone (419) 383-3787

3355 Glendale Ave
Fl Third
Toledo, OH 43614

2222 Cherry St
Ste 2600
Toledo, OH 43608
Phone (419) 251-8005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • Direct secure messaging: dmukundan27134@direct.bsmhealth.org
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
  • Direct secure messaging: dmukundan13948@direct.promedica.org
  • Direct secure messaging: dmukundan21194@direct.utoledo.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1023111200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR STE M",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008",
            "telephone_number": "419-383-6843",
            "fax_number": "419-383-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Cherry St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082673",
            "country_code": "US",
            "telephone_number": "419-251-8065",
            "fax_number": "419-383-7715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 W Central Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063834",
            "country_code": "US",
            "telephone_number": "419-291-5599",
            "fax_number": "419-291-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKUNDAN",
        "first_name": "DEEPA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.088176",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "OH",
            "license": "35-088176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.