NPIMap

Individual provider Active NPI

Jahangir Adil, MD

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1477587517
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35051403 Issued in OH
Practice address
3425 Executive Pkwy Ste 110
Toledo, OH 43606-1333
Phone
(419) 593-0050
Fax
(419) 593-0053
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35051403 OH Primary

Addresses

Primary practice location

3425 Executive Pkwy Ste 110
Toledo, OH 43606-1333

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231

Other identifiers 1

IdentifierTypeStateIssuer
2669152MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060731000034 OH Practitioner - Family Practice 1658270186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

Hospital & facility affiliations

  • Ohioans Home Healthcare Home health agency, Monroe, MI, CCN 239285
  • Elara Caring Home health agency, Toledo, OH, CCN 367730
  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Ohio Living Home Health Greater Toledo Home health agency, Toledo, OH, CCN 367530
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051403OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Sep 1, 2012 Accepting new patients
Toledo Clinic Incorporated Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Unison Behavioral Health Group, Inc. CurrentSince Jan 3, 2015 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Pain Services, PLL Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506

3425 Executive Pkwy
Ste 110
Toledo, OH 43606
Phone (419) 593-0050

1212 Cherry St
Toledo, OH 43608
Phone (419) 243-6326

4235 Secor Rd
Bldg 3
Toledo, OH 43623
Phone (419) 291-3388

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673

Interoperability endpoints

  • Direct secure messaging: jahangir.adil@toledoclinic.eclinicaldirectplus.com
  • Direct secure messaging: jahangir.adil.1@19745.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1477587517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY STE 110",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061333",
            "telephone_number": "419-593-0050",
            "fax_number": "419-593-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIL",
        "first_name": "JAHANGIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2669152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.