Individual provider Active NPI

Dagmar Stein, MD, PHD

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1114927977
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35070591 Issued in OH
Practice address
2142 N Cove Blvd
5-South, Pediatics
Toledo, OH 43606-3895
Phone
(419) 291-7815
Fax
(419) 291-6120
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35070591 OH Primary

Addresses

Primary practice location

2142 N Cove Blvd
5-South, Pediatics
Toledo, OH 43606-3895

Mailing address

2142 N Cove Blvd
5-South, Pediatics
Toledo, OH 43606-3895
Phone (419) 291-7815

Other identifiers 7

IdentifierTypeStateIssuer
000000141187OtherOHANTHEM
830005376OtherOHRRMC
2083700OtherOHAETNA
2007321MedicaidOH
36-00165OtherOHUHC
4254252MedicaidMI
02261OtherOHPARAMOUNT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dstein13570@epicdirect.promedica.org

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
I20051110001014 OH Practitioner - Pediatric Medicine 1052339744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Children'S SpecialistsGroup PAC ID 6709975345, 16 clinicians
The Toledo HospitalGroup PAC ID 2961309638, 118 clinicians

Practice addresses (Care Compare)

2121 Hughes Dr
Toledo, OH 43606-3857

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-9508

2150 W Central Ave
Toledo, OH 43606-3834
Phone (419) 291-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35070591OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital Pediatrics CurrentSince Jan 1, 2016 Accepting new patients
Promedica Children'S Specialists Pediatrics CurrentSince Jun 1, 2007 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
The Toledo Hospital CurrentSince Jan 1, 2016 Accepting new patients
Northwest Pediatric Specialists, LLC Pediatrics CurrentSince Nov 1, 2023 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

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

2142 N Cove Blvd
#5
Toledo, OH 43606
Phone (419) 291-7815

2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403

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

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

2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2142 N Cove Blvd
#5W
Toledo, OH 43606
Phone (419) 291-9500

2142 N Cove Blvd
#5S
Toledo, OH 43606
Phone (419) 291-4637

Interoperability endpoints

  • Direct secure messaging: dstein13570@direct.promedica.org
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 7

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1114927977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "address_2": "5-SOUTH, PEDIATICS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-7815",
            "fax_number": "419-291-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "address_2": "5-SOUTH, PEDIATICS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-7815",
            "fax_number": "419-291-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "DAGMAR",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35070591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000141187",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "830005376",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2083700",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007321",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "36-00165",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4254252",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02261",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstein13570@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.