Individual provider Active NPI

Subrahmanyam Chodisetty, M.D.,

  • Neurology Physician
  • Toledo, OH
National Provider Identifier
1386635365
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35080374 Issued in OH
Practice address
3949 Sunforest CT
Suite 105
Toledo, OH 43623-4473
Phone
(419) 475-9341
Fax
(419) 475-2761
NPI assigned
Oct 31, 2005
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35080374 OH Primary

Addresses

Primary practice location

3949 Sunforest CT
Suite 105
Toledo, OH 43623-4473

Mailing address

3949 Sunforest CT
Suite 105
Toledo, OH 43623-4473
Phone (419) 475-9341

Other practice location 1

12623 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone (419) 475-9341

Other practice location 2

1400 E 2nd St
Defiance, OH 43512-9905
Phone (419) 783-2797

Other practice location 3

2222 Cherry St Ste M200
Toledo, OH 43608-2674
Phone (419) 475-9341

Other practice location 4

3851 Navarre Ave Ste 250
Oregon, OH 43616-3672
Phone (419) 475-9341

Other identifiers 1

IdentifierTypeStateIssuer
2298062MedicaidOH

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
I20091019000355 OH Practitioner - Neurology 1951448240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3851 Navarre Ave
Suite 250
Oregon, OH 43616-3672
Phone (419) 696-8950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080374OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Nov 13, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Nov 13, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

3851 Navarre Ave
Ste 250
Oregon, OH 43616
Phone (419) 251-8019

12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2222 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-1155

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

3949 Sunforest Ct
Ste 105
Toledo, OH 43623
Phone (419) 475-8809

Interoperability endpoints

  • Direct secure messaging: schodisetty50149@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1386635365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE 105",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234473",
            "telephone_number": "419-475-9341",
            "fax_number": "419-475-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE 105",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234473",
            "telephone_number": "419-475-9341",
            "fax_number": "419-475-2761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12623 Eckel Junction Rd",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435511304",
            "country_code": "US",
            "telephone_number": "419-475-9341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435129905",
            "country_code": "US",
            "telephone_number": "419-783-2797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Cherry St Ste M200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082674",
            "country_code": "US",
            "telephone_number": "419-475-9341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3851 Navarre Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163672",
            "country_code": "US",
            "telephone_number": "419-475-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHODISETTY",
        "first_name": "SUBRAHMANYAM",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35080374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2298062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.