Individual provider Active NPI

Bertilia M Toca, MD

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1457339582
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35068547T Issued in OH
Practice address
601 Enid Ave
Dayton, OH 45429-5413
Phone
(937) 224-4694
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35068547T OH Primary

Addresses

Primary practice location

601 Enid Ave
Dayton, OH 45429-5413

Mailing address

601 Enid Ave
Dayton, OH 45429-5413

Other identifiers 1

IdentifierTypeStateIssuer
2272231MedicaidOH

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
I20050208000692 OH Practitioner - Psychiatry 2466403324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastway CorporationGroup PAC ID 1153211065, 9 clinicians

Practice addresses (Care Compare)

600 Wayne Ave
Dayton, OH 45410-1122
Phone (937) 396-2525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068547TOHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Behavioral Health, Inc. CurrentSince Nov 30, 2012 Accepting new patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Nov 30, 2012 Accepting new patients
Eastway Corporation CurrentSince Apr 6, 2011 Accepting new patients
Advanced Therapeutic Services Inc Past Accepting new patients
Nova Behavioral Health, Inc. Past Accepting new patients

Locations

601 S Edwin C Moses Blvd
Fl 1
Dayton, OH 45417
Phone (937) 224-1694

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

600 Wayne Ave
Dayton, OH 45410
Phone (937) 396-2525

2172 State Route 127 N
#A
Eaton, OH 45320
Phone (937) 456-1915

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1457339582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ENID AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ENID AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295413",
            "telephone_number": "937-224-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCA",
        "first_name": "BERTILIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35068547T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.