NPIMap

Individual provider Active NPI

Edward L Tremoulis, MD

  • Family Medicine Physician
  • Lima, OH
National Provider Identifier
1376595728
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052239 Issued in OH
Practice address
915 W Market St
Lima, OH 45805-2768
Phone
(419) 229-4747
Fax
(419) 224-3348
NPI assigned
May 16, 2006
Last updated
Mar 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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 052239 OH Primary

Addresses

Primary practice location

915 W Market St
Lima, OH 45805-2768

Mailing address

915 W Market St
Lima, OH 45805-2768
Phone (419) 229-4747

Other identifiers 1

IdentifierTypeStateIssuer
0861198MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127001023 OH Practitioner - Family Practice 0143123307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Market Street Family PhysGroup PAC ID 7517943269, 4 clinicians

Practice addresses (Care Compare)

915 W Market St
Suite E
Lima, OH 45805-2769
Phone (419) 229-4747

915 W Market St E
Lima, OH 45805-2769

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052239OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Market Street Family Phys Family Medicine CurrentSince Jan 11, 2017 Accepting new patients
Trilogy Healthcare of Allen II, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Trilogy Healthcare of Lima II, LLC Past Accepting new patients

Locations

915 W Market St
Lima, OH 45805
Phone (419) 228-3600

915 W Market St
Ste E
Lima, OH 45805
Phone (419) 229-4747

Interoperability endpoints

  • Direct secure messaging: etremoulis52451@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1376595728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052768",
            "telephone_number": "419-229-4747",
            "fax_number": "419-224-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052768",
            "telephone_number": "419-229-4747",
            "fax_number": "419-224-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMOULIS",
        "first_name": "EDWARD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "052239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0861198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.