Active NPI
Jalal Hyder, DO
- Radiation Oncology Physician
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 34.014692
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhyder204650@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5101025662 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| Wilkes-Barre Clinic Company LLC | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Promedica Central Physicians | Current | 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.
-
- Surgery Physician
- Wilkes Barre, PA
- NPI 1144533670
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
dba Physicians Health Alliance
- Family Medicine Physician
- Scranton, PA
- NPI 1508143074
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wilkes Barre General Hospital
- Clinic/Center
- Wilkes Barre, PA
- NPI 1053554378
Hospital
-
dba Wilkes Barre General Hospital
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.