Individual provider Active NPI

Jalal Hyder, DO

  • Radiation Oncology Physician
  • Sylvania, OH
National Provider Identifier
1376923466
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
34.014692 Issued in OH
Practice address
5300 Harroun Rd Ste 10
Sylvania, OH 43560-2146
Phone
(419) 824-1952
Fax
(419) 824-0344
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NE
Radiation Oncology Physician 2085R0001X 34.014692 OH Primary
Radiation Oncology Physician 2085R0001X 5101025662 MI
Radiation Oncology Physician 2085R0001X 325759 NY

Addresses

Primary practice location

5300 Harroun Rd Ste 10
Sylvania, OH 43560-2146

Mailing address

111 Hospital Dr
Attn: Credentialing Dept
Utica, NY 13502
Phone (315) 801-8534

Other practice location 1

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 624-5340

Other practice location 2

800 Stewart Rd
Monroe, MI 48162-4274
Phone (734) 240-1800

Other practice location 3

982055 Nebraska Medical Ctr
Unmc - Internal Medicine
Omaha, NE 68198-2055
Phone (402) 559-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhyder204650@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, NY, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200911002201 MI Practitioner - Radiation Oncology 5799095725 Reassigns benefits to 1 organization
I20200915001804 OH Practitioner - Radiation Oncology 5799095725 Reassigns benefits to 1 organization
I20240202002864 NY Practitioner - Radiation Oncology 5799095725 Reassigns benefits to 1 organization
I20241119003727 PA Practitioner - Radiation Oncology 5799095725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians
Wilkes-Barre Clinic Company LLCGroup PAC ID 1557556313, 3 clinicians

Practice addresses (Care Compare)

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 552-1300

575 N River Strret
Wilkes Barre, PA 18764-0999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025662MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Dec 1, 2025 Accepting new patients
Wilkes-Barre Clinic Company LLC CurrentSince Dec 16, 2024 Accepting new patients
MVHS Inc CurrentSince Dec 1, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2020 Accepting new patients
Scranton Quincy Clinic Company LLC Past Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

800 Stewart Rd
Monroe, MI 48162
Phone (734) 240-1800

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

5300 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 479-5386

5300 Harroun Rd
Ste 10
Sylvania, OH 43560
Phone (419) 824-1952

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

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

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 3

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1376923466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-801-8534",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HARROUN RD STE 10",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602146",
            "telephone_number": "419-824-1952",
            "fax_number": "419-824-0344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1676 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135025416",
            "country_code": "US",
            "telephone_number": "315-624-5340",
            "fax_number": "315-624-5370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Stewart Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624274",
            "country_code": "US",
            "telephone_number": "734-240-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "982055 Nebraska Medical Ctr",
            "address_2": "UNMC - INTERNAL MEDICINE",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681982055",
            "country_code": "US",
            "telephone_number": "402-559-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDER",
        "first_name": "JALAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "34.014692",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "5101025662",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "325759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhyder204650@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.