Active NPI
Fenil Kholwadwala, M.D.
- Emergency Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.135911
- Practice address
- 2109 Hughes Dr FL 3
Toledo, OH 43606-3856 - Phone
- (419) 291-8154
- NPI assigned
- Apr 26, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.135911 | OH | Primary |
Addresses
Primary practice location
2109 Hughes Dr FL 3
Toledo, OH 43606-3856
Mailing address
4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (419) 383-3888
Other practice location 1
3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0358642 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current | Accepting new patients |
Locations
10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
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.
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1174058267",
"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": "419-383-3888",
"fax_number": "419-383-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 HUGHES DR FL 3",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063856",
"telephone_number": "419-291-8154"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-3888",
"fax_number": "419-383-2860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOLWADWALA",
"first_name": "FENIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.135911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0358642",
"state": "OH"
}
],
"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 Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.