Abdullah Tolaymat, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01085528A Issued in IN

Practice address

2111 Northwinds Dr
Dyer, IN 46311-1882

Phone

(219) 836-2096

Fax

(219) 319-0647

NPI assigned

Jul 7, 2011

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• Young Mindz Neuro Clinic LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Dyer, IN
  • NPI 1245070945
  NPD Authorized official
• Board of Trustees of the University of Illinois

  dba Medical Service Plan at Peoria

  • Pediatrics Physician
  • Peoria, IL
  • NPI 1467425322
  NPD
• The Board of Trustees of the University of Illinois

  dba Occupational Health Service Institute (OHSI)

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD
• MN Imaging Center

  • Radiology Clinic/Center
  • Dyer, IN
  • NPI 1982257226
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1295022515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOLIET ST STE 201",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111995",
            "telephone_number": "219-836-2096",
            "fax_number": "219-319-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NORTHWINDS DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111882",
            "telephone_number": "219-836-2096",
            "fax_number": "219-319-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLAYMAT",
        "first_name": "ABDULLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01085528A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Thomas, M.S.
• Shawn Thomas, OTR
• Sophia Ann Thompson
• Madeline Rae Tipsword
• Alicia B Tocci, DEVELOPMENTAL THERAP
• Diane M Toren, COTA/L
• Trademark Performance Corporation
• Marianne Trgovich, RPH
• Triple Joy Home Health Care Inc
• Leonard J Tucker, R.PH.

• Neurology Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.