Active NPI
Lance D Dworkin, MD
- Nephrology Physician
- Toledo, OH
National Provider Identifier
1053358770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35.129491
- Practice address
- 3333 Glendale Ave
Toledo, OH 43614-2426 - Phone
- (419) 383-5288
- Fax
- (419) 383-2823
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD08362 | RI | |
| Nephrology Physician | 207RN0300X | 35.129491 | OH | Primary |
Addresses
Primary practice location
3333 Glendale Ave
Toledo, OH 43614-2426
Mailing address
4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (567) 420-1600
Other practice location 1
2100 W Central Ave Fl 2
Toledo, OH 43606-3800
Phone (567) 420-1600
Other practice location 2
1125 Hospital Dr
Toledo, OH 43614-8001
Phone (419) 383-4382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0181612 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lance.dworkin.1@9641.direct.athenahealth.com | University of Toledo Physicians LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.34 of 100
- Quality
- 69.17
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University of Ohio at Toledo | Current | Accepting new patients |
Locations
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
Interoperability endpoints
- ldworkin24471@direct.utoledo.edu
Organizations & group practices 1
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.
-
dba University of Toledo Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1053358770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 DORR ST # MS 840",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436154040",
"telephone_number": "567-420-1600",
"fax_number": "567-420-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 GLENDALE AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-383-5288",
"fax_number": "419-383-2823"
}
],
"practiceLocations": [
{
"address_1": "2100 W Central Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063800",
"country_code": "US",
"telephone_number": "567-420-1600",
"fax_number": "567-420-1637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436148001",
"country_code": "US",
"telephone_number": "419-383-4382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DWORKIN",
"first_name": "LANCE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "RI",
"license": "MD08362",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35.129491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0181612",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lance.dworkin.1@9641.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "University of Toledo Physicians LLC",
"address_1": "2100 W Central Ave Fl 2",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436063800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.