Ahmad Walid Abdelwahed, M.D.
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Sylvania, OH
NPI 1194981365 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1194981365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 35.098780 (OH)
- Practice address
- 5700 Monroe St Unit 308
Sylvania, OH 43560-2768 - Phone
- (419) 291-7555
- Fax
- (419) 479-2696
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Promedica Multi Specialty Physicians
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 240-8835
Hospital & facility affiliations
- Promedica Toledo Hospital
- Promedica Monroe Regional Hospital
- Bay Park Community Hospital
- Fostoria Community Hospital
- Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120606000524 | OH | Practitioner - Pulmonary Disease | 9638333404 | Reassigns benefits to 1 organization |
| I20121015000482 | MI | Practitioner - Pulmonary Disease | 9638333404 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.098780 | OH | MD | Critical Care Medicine (Internal Medicine) Physician |
| 4301100075 | MI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Multi Specialty Physicians | Pulmonary Disease | Current |
Accepting new patients |
| The Toledo Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411
777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321
5700 Monroe St
Unit 308
Sylvania, OH 43560
Phone (419) 291-7555
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 760
Toledo, OH 43606
Phone (419) 291-7555
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Interoperability endpoints
- aabdelwahed12880@direct.promedica.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 35.098780 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 4301100075 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35.098780 | OH | Yes |
Addresses
Primary practice location
5700 Monroe St Unit 308
Sylvania, OH 43560-2768
Mailing address
100 Madison Ave
Toledo, OH 43604-1516
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064469 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aabdelwahed12880@epicdirect.promedica.org |
Other providers in Sylvania, OH
- Ab Education and Behavior Consulting, LLC
- Aaron K Abbott
- Sulafa Y Abdallah
- Anwar Abouzied
- Eli C Abramson
- Absolute Freedom Transport Services, LLC
- Accelerated Rehabilitation Centers, LTD
- Keyana Renee Acheampong
All providers in Sylvania, OH · Critical Care Medicine (Internal Medicine) Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.