Individual provider Active NPI

Cuneyd A Tolek, M.D.

  • Family Medicine Physician
  • Sylvania, OH
National Provider Identifier
1174514590
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35048043T Issued in OH
Practice address
5700 Monroe St
#204
Sylvania, OH 43560-2767
Phone
(567) 585-0090
Fax
(567) 585-0093
NPI assigned
Nov 3, 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
Family Medicine Physician 207Q00000X 35048043T OH Primary

Addresses

Primary practice location

5700 Monroe St
#204
Sylvania, OH 43560-2767

Mailing address

5700 Monroe St
#204
Sylvania, OH 43560-2767
Phone (567) 585-0090

Other identifiers 1

IdentifierTypeStateIssuer
0496851MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctolek13929@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
I20080718000124 OH Practitioner - Family Practice 9234202656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35048043TOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hisey Physician Services, LLC CurrentSince May 1, 2024 Accepting new patients
Promedica Central Physicians Family Medicine CurrentSince May 1, 2017 Accepting new patients
Upper Valley Professional Corporation Family Medicine CurrentSince Nov 11, 2012 Accepting new patients
Promedica Central Physicians CurrentSince May 1, 2017 Accepting new patients
Harbor Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fauster Cameron Inc. Past Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients

Locations

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5700 Monroe St
Unit 204
Sylvania, OH 43560
Phone (567) 585-0090

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

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

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

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

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

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

Interoperability endpoints

  • Direct secure messaging: ctolek13929@direct.promedica.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1174514590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST",
            "address_2": "#204",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602767",
            "telephone_number": "567-585-0090",
            "fax_number": "567-585-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST",
            "address_2": "#204",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602767",
            "telephone_number": "567-585-0090",
            "fax_number": "567-585-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEK",
        "first_name": "CUNEYD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35048043T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496851",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctolek13929@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 Sylvania, OH

Sources for this page

Verify at the official NPI Registry.