Active NPI
Shirin Yusubov, MD
- Anesthesiology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.154915
- Practice address
- 3000 Arlington Ave
Toledo, OH 43614-2595 - Phone
- (419) 383-3556
- Fax
- (419) 383-3550
- NPI assigned
- Jun 10, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301507357 | MI | |
| Anesthesiology Physician | 207L00000X | 35.154915 | OH | Primary |
| Anesthesiology Physician | 207L00000X | 84720 | WI |
Addresses
Primary practice location
3000 Arlington Ave
Toledo, OH 43614-2595
Mailing address
3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322
Other practice location 1
11012 E 13 Mile Rd
Warren, MI 48093-2572
Phone (586) 751-9800
Other practice location 2
975 Port Washington Rd
Grafton, WI 53024-9201
Phone (262) 329-1000
Other practice location 3
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5392
Other practice location 4
4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561
Other practice location 5
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198
Other practice location 6
3330 Meijer Dr
Toledo, OH 43617-3103
Phone (419) 578-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100291328 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | syusubov412237@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Michigan State University College of Human Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000
5959 Monclova Rd
Maumee, OH 43537-1888
Phone (419) 893-5911
Hospital & facility affiliations
- Mymichigan Medical Center Midland
- Aurora Medical Center
- University of Toledo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.02 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301507357 | MI | MD | Anesthesiology Physician |
| 35.154915 | OH | MD | Anesthesiology Physician |
| 84720 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A4 of Ohio, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Anesthesiology | Current | Accepting new patients |
| University of Toledo Physicians LLC | Anesthesiology | Current | Accepting new patients |
| Mymichigan Medical Center Midland | Anesthesiology | Current | Accepting new patients |
| University of Toledo Physicians, LLC | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Past | Accepting new patients |
Locations
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
11012 E 13 Mile Rd
Warren, MI 48093
Phone (586) 573-8890
11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880
5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740
4235 Secor Rd
Bldg 2
Toledo, OH 43623
Phone (419) 473-3561
3330 Meijer Dr
Toledo, OH 43617
Phone (419) 539-6323
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
3000 Arlington Ave
Stop 1108
Toledo, OH 43614
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
3330 Meijer Dr
Ste 201201
Toledo, OH 43617
Interoperability endpoints
- https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4
- syusubov1158520@direct.hfhs.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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1255996567
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Anesthesiology
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
-
- Sports Medicine (Family Medicine) Physician
- Toledo, OH
- NPI 1215240676
-
- Podiatrist
- Sylvania, OH
- NPI 1952097073
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1396360848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE STOP 1108",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142595",
"telephone_number": "419-383-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142595",
"telephone_number": "419-383-3556",
"fax_number": "419-383-3550"
}
],
"practiceLocations": [
{
"address_1": "11012 E 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480932572",
"country_code": "US",
"telephone_number": "586-751-9800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "975 Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Grafton",
"state": "WI",
"postal_code": "530249201",
"country_code": "US",
"telephone_number": "262-329-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 N Perry St",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483422217",
"country_code": "US",
"telephone_number": "248-338-5392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4235 Secor Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436234299",
"country_code": "US",
"telephone_number": "419-473-3561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22401 Foster Winter Dr",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480753724",
"country_code": "US",
"telephone_number": "248-423-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Meijer Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436173103",
"country_code": "US",
"telephone_number": "419-578-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUSUBOV",
"first_name": "SHIRIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301507357",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.154915",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "84720",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100291328",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "syusubov412237@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "975 Port Washington Rd",
"city": "Grafton",
"state": "WI",
"country_code": "US",
"postal_code": "530249201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "975 Port Washington Rd",
"city": "Grafton",
"state": "WI",
"country_code": "US",
"postal_code": "530249201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.