Individual provider Active NPI

Ramy Anis Fayad, M.D.

  • Nephrology Physician
  • Toledo, OH
National Provider Identifier
1316069412
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.091470 Issued in OH
Practice address
2109 Hughes Dr
St 920
Toledo, OH 43606-3856
Phone
(419) 479-2650
Fax
(419) 479-2655
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.091470 OH Primary

Addresses

Primary practice location

2109 Hughes Dr
St 920
Toledo, OH 43606-3856

Mailing address

2109 Hughes Dr
St 920
Toledo, OH 43606-3856
Phone (419) 479-2650

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
I20080902000244 OH Practitioner - NephrologyPractitioner - Internal Medicine 3870491681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
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
Nephrology Consultants of Northwest Ohio, IncGroup PAC ID 0941197172, 10 clinicians

Practice addresses (Care Compare)

2121 Hughes Dr
Suite 710
Toledo, OH 43606-5131
Phone (419) 291-2671

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.091470OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Feb 19, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Toledo Vascular Access ASC LLC PastSince Dec 4, 2018 Accepting new patients
Toledo Vascular Access Center LLC PastSince Mar 6, 2017 Accepting new patients

Locations

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

2121 Hughes Dr
Ste 710
Toledo, OH 43606
Phone (419) 291-2610

2109 Hughes Dr
Toledo, OH 43606
Phone (419) 291-0159

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

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

Organizations & group practices 6

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 10

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1316069412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR",
            "address_2": "ST 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063856",
            "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",
            "address_2": "ST 920",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063856",
            "telephone_number": "419-479-2650",
            "fax_number": "419-479-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYAD",
        "first_name": "RAMY",
        "middle_name": "ANIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.091470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.