Active NPI
Timothy Drotar
- Family Medicine Physician
- Toledo, OH
National Provider Identifier
1508153123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.143340
- Practice address
- 4411 N Holland Sylvania Rd Ste 201
Toledo, OH 43623-3530 - Phone
- (419) 843-3627
- NPI assigned
- Jul 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.143340 | OH | Primary |
Addresses
Primary practice location
4411 N Holland Sylvania Rd Ste 201
Toledo, OH 43623-3530
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H915320 | Other | OH | MEDICARE |
| 0495155 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Toledo College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4411 N Holland Sylvania Rd
Suite 201
Toledo, OH 43623-3530
Phone (419) 843-3627
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Clinic Incorporated | Family Medicine | Current | Accepting new patients |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lane Drug Co | Past | Accepting new patients | |
| Lane Drug Co | Past | Accepting new patients |
Locations
4411 N Holland Sylvania Rd
Ste 201
Toledo, OH 43623
Phone (419) 843-3627
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Toledo, OH
- NPI 1114079167
-
- Radiation Oncology Physician
- Muamee, OH
- NPI 1346997293
-
- Podiatrist
- Sylvania, OH
- NPI 1952097073
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Durable Medical Equipment & Medical Supplies
- Oregon, OH
- NPI 1518019587
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1508153123",
"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",
"telephone_number": "419-479-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 N HOLLAND SYLVANIA RD STE 201",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233530",
"telephone_number": "419-843-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROTAR",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-03",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.143340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H915320",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0495155",
"state": "OH"
}
],
"endpoints": [],
"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 Dec 8, 2022; 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.