Individual provider Active NPI

Chompunut Asava Aree, M.D.,

  • Vascular Surgery Physician
  • Toledo, OH
National Provider Identifier
1104113059
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.125078 Issued in OH
Practice address
2109 Hughes Dr
Toledo, OH 43606-3856
Phone
(419) 291-2003
Fax
(419) 479-6977
NPI assigned
Jun 29, 2011
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301502870 MI
Internal Medicine Physician 207R00000X 35.125078 OH
Vascular Surgery Physician 2086S0129X 35.125078 OH Primary

Addresses

Primary practice location

2109 Hughes Dr
Toledo, OH 43606-3856

Mailing address

2109 Hughes Dr # 450
Toledo, OH 43606-3858

Other practice location 1

777 Kimole Ln Ste 250
Adrian, MI 49221-1400
Phone (517) 265-0403

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address casavaaree204881@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150901001633 OH Practitioner - Vascular SurgeryPractitioner - Internal Medicine 4981910254 Reassigns benefits to 1 organization
I20201008001905 MI Practitioner - Vascular Surgery 4981910254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Toledo, OH 43606-3858
Phone (419) 291-2003

777 Kimole LN
Suite 130
Adrian, MI 49221-1400
Phone (517) 265-0292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.125078OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Multi Specialty Physicians Vascular Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

777 Kimole Ln
Ste 260
Adrian, MI 49221
Phone (419) 479-2650

730 N Macomb St
Ste 419
Monroe, MI 48162
Phone (734) 241-3900

960 W Wooster St
Ste 207
Bowling Green, OH 43402
Phone (419) 354-3072

1250 Ralston Ave
Ste 106
Defiance, OH 43512
Phone (419) 783-6931

595 Bartson Rd
Fremont, OH 43420
Phone (419) 333-0540

2751 Bay Park Dr
Ste 302
Oregon, OH 43616
Phone (419) 690-7550

2109 Hughes Dr
Toledo, OH 43606
Phone (419) 291-0159

2109 Hughes Dr
#450
Toledo, OH 43606

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

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

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Interoperability endpoints

  • Direct secure messaging: casavaaree204881@direct.promedica.org
  • Direct secure messaging: casavaaree204881@epicdirect.promedica.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1104113059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR # 450",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063856",
            "telephone_number": "419-291-2003",
            "fax_number": "419-479-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Kimole Ln Ste 250",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492211400",
            "country_code": "US",
            "telephone_number": "517-265-0403",
            "fax_number": "517-265-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAVA AREE",
        "first_name": "CHOMPUNUT",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301502870",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.125078",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.125078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "casavaaree204881@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "2109 Hughes Dr",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436063856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.