NPIMap

Organization Active NPI

Infusion Associates of Ohio LLC

  • Infusion Therapy Clinic/Center
  • Toledo, OH
National Provider Identifier
1144966466
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
INFUSION ASSOCIATES OF OHIO LLC
Practice address
2000 Regency CT.
Toledo, OH 43623
Phone
(616) 954-0600
Fax
(616) 954-1675
NPI assigned
May 10, 2022
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Khan J Nedd, MDNPI 1043284219
Title
Owner
Phone
(616) 954-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

2000 Regency CT.
Toledo, OH 43623

Mailing address

3310 Eagle Park Dr. NE, Ste. 200
Grand Rapids, MI 49525
Phone (616) 954-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728001607 OH Part B Supplier - Clinic/Group Practice 3072995646 Receives reassigned benefits from 6 practitioners
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

3310 Eagle Park Dr NE
Ste 200
Grand Rapids, MI 49525

2000 Regency Ct
Ste 100A
Toledo, OH 43623
Phone (833) 394-0600

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1144966466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 EAGLE PARK DR. NE, STE. 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-954-0600",
            "fax_number": "616-954-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REGENCY CT.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "616-954-0600",
            "fax_number": "616-954-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION ASSOCIATES OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "NEDD",
        "authorized_official_first_name": "KHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-954-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.