Active NPI
John C De Toledo
- Neurology Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- N9361
- Practice address
- 3601 4TH St
Lubbock, TX 79430-8321 - Phone
- (806) 743-2391
- Fax
- (806) 743-5687
- NPI assigned
- Jul 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | N9361 | TX | |
| Neurology Physician | 2084N0400X | N9361 | TX | Primary |
Addresses
Primary practice location
3601 4TH St
Lubbock, TX 79430-8321
Mailing address
3601 4TH St
Lubbock, TX 79430-8321
Phone (806) 743-2391
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810009737 | Medicaid | WV | |
| Q0024N | Medicaid | SC | |
| 202479601 | Medicaid | TX | |
| 198275 | Other | NC | MEDCOST |
| 1477570810 | Medicaid | VA | |
| 809210 | Other | NC | PARTNERS |
| 144PN | Other | NC | BCBS |
| 5907931 | Medicaid | NC | |
| 3791921-00 | Medicaid | FL | |
| 4122695 | Other | NC | AETNA |
Other names 1
- Joao De Toledo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TTUneuro@direct.myteamcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090519000625 | TX | Practitioner - Neurology | 4587759212 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Neurology | Current | Accepting new patients |
| Health and Human Services Commission | Neurology | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| University of Miami | Neurology | Past | Accepting new patients |
| University of Miami | Neurology | Past | Accepting new patients |
| Health and Human Services Commission | Neurology | Past | Accepting new patients |
Locations
2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053
4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327
3615 19th St
Ste 501
Lubbock, TX 79410
Phone (803) 743-2391
3401 N University Ave
Lubbock, TX 79415
Phone (806) 741-3514
4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Interoperability endpoints
- john.detoledo@direct.myteamcare.com
Organizations & group practices 10
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.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
TX
-
- Intellectual Disabilities Intermediate Care Facility
- Brenham, TX
- NPI 1114006921
Neurology
-
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Neurology Physician
- Lubbock, TX
- NPI 1518916808
Neurology
-
- Psychiatry Physician
- Lubbock, TX
- NPI 1881643179
-
- Intellectual Disabilities Intermediate Care Facility
- Lubbock, TX
- NPI 1649363326
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1477570810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794308321",
"telephone_number": "806-743-2391",
"fax_number": "806-743-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 4TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794308321",
"telephone_number": "806-743-2391",
"fax_number": "806-743-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE TOLEDO",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "TX",
"license": "N9361",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "N9361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810009737",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0024N",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202479601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "198275",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477570810",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "809210",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "144PN",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907931",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3791921-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4122695",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TTUneuro@direct.myteamcare.com",
"affiliation": "N",
"endpointDescription": "Neurology",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3601 4th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794308321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOAO",
"last_name": "DE TOLEDO",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.