NPIMap

Individual provider Active NPI

John C De Toledo

  • Neurology Physician
  • Lubbock, TX
National Provider Identifier
1477570810
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N9361 Issued in TX
Practice address
3601 4TH St
Lubbock, TX 79430-8321
Phone
(806) 743-2391
Fax
(806) 743-5687
NPI assigned
Jul 15, 2006
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 names 1

  • Joao De Toledo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000625 TX Practitioner - Neurology 4587759212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince May 7, 2009 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Health and Human Services Commission Neurology CurrentSince Sep 3, 2017 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Neurology CurrentSince May 7, 2009 Accepting new patients
Health and Human Services Commission CurrentSince Sep 3, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
University of Miami Neurology Past Accepting new patients
Health and Human Services Commission Neurology Past Accepting new patients
University of Miami 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

3401 N University Ave
Lubbock, TX 79415
Phone (806) 741-3514

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3615 19th St
Ste 501
Lubbock, TX 79410
Phone (803) 743-2391

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

Interoperability endpoints

  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": [],
    "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

Verify at the official NPI Registry.