NPIMap

Individual provider Active NPI

Vidhit Krishan Puri, D.O.

  • Nephrology Physician
  • Toledo, OH
National Provider Identifier
1295153567
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.013936 Issued in OH
Practice address
2109 Hughes Dr Ste 920
Toledo, OH 43606-5116
Phone
(419) 479-2650
Fax
(419) 479-2655
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 34.013936 OH Primary

Addresses

Primary practice location

2109 Hughes Dr Ste 920
Toledo, OH 43606-5116

Mailing address

2109 Hughes Dr Ste 920
Toledo, OH 43606-5116
Phone (419) 479-2650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190906002598 OH Practitioner - NephrologyPractitioner - Osteopathic Manipulative Medicine 1153625009 Reassigns benefits to 2 organizations
I20221213001788 MI Practitioner - Nephrology 1153625009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians
Nephrology Consultants of Northwest Ohio, IncGroup PAC ID 0941197172, 10 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Suite 760
Toledo, OH 43606-5111
Phone (419) 291-7555

7644 Kings Pointe Rd
Toledo, OH 43617-1500
Phone (419) 479-2650

777 Kimole LN
Suite 260
Adrian, MI 49221-1400
Phone (419) 479-2650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Dec 18, 2023 Accepting new patients
Promedica Central Physicians CurrentSince Dec 18, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

777 Kimole Ln
Ste 260
Adrian, MI 49221
Phone (419) 479-2650

3000 Arlington Ave
#1050
Toledo, OH 43614
Phone (419) 383-1940

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

2109 Hughes Dr
Ste 920
Toledo, OH 43606
Phone (419) 479-2650

2109 Hughes Dr
Ste 760
Toledo, OH 43606
Phone (419) 291-7555

Organizations & group practices 4

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 8

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1295153567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065116",
            "telephone_number": "419-479-2650",
            "fax_number": "419-479-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065116",
            "telephone_number": "419-479-2650",
            "fax_number": "419-479-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "VIDHIT",
        "middle_name": "KRISHAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34.013936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.