Individual provider Active NPI

Eyad Jaara, MD

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1578049110
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.140445 Issued in OH
Practice address
3000 Arlington Ave
Toledo, OH 43614-2595
Phone
(419) 383-6369
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Emergency Medicine Physician 207P00000X 35.140445 OH Primary

Addresses

Primary practice location

3000 Arlington Ave
Toledo, OH 43614-2595

Mailing address

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-6369

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
I20210607002441 OH Practitioner - Emergency Medicine 4981004322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Toledo College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Care Emergency Physicians LLCGroup PAC ID 2668887209, 9 clinicians

Practice addresses (Care Compare)

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (419) 373-7642

Hospital & facility affiliations

  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Merit-based Incentive Payment System (MIPS)

Final score
96.39 of 100Reported as group
Quality
92.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Ultimate Care Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

Organizations & group practices 2

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 3

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1578049110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAARA",
        "first_name": "EYAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.140445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.