NPIMap

Individual provider Active NPI

Timothy M Husted, MD

  • Surgery Physician
  • Toledo, OH
National Provider Identifier
1598765158
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35061299H Issued in OH
Practice address
4235 Secor Rd
Toledo, OH 43623-4231
Phone
(419) 479-5500
NPI assigned
Jul 26, 2005
Last updated
May 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35061299H OH Primary

Addresses

Primary practice location

4235 Secor Rd
Toledo, OH 43623-4231

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5500

Other identifiers 1

IdentifierTypeStateIssuer
0836966MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060113000576 OH Practitioner - General Surgery 8527081702
I20250415003900 IN Practitioner - General Surgery 8527081702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

650 Dickinson Rd
Chesterton, IN 46304-3387

85 E US Hwy 6
Valparaiso, IN 46383-8948

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061299HOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Current Accepting new patients
Porter Physician Services LLC CurrentSince Jun 2, 2025 Accepting new patients
Porter Health Services Past Accepting new patients
Northwest Indiana Nephrology PC Past Accepting new patients
Porter Physician Services LLC Past Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

85 E US Highway 6
Ste 240
Valparaiso, IN 46383
Phone (219) 983-6240

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

Interoperability endpoints

  • Direct secure messaging: timothy.husted.1@2340.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bay Park Community HospitalOregon, OH, CCN 360259 Hospital Corporate Director Feb 14, 2019
The Toledo HospitalSylvania, OH, CCN 36T068 Hospital Corporate Director Jan 1, 2021
The Toledo HospitalSylvania, OH, CCN 36S068 Hospital Corporate Director Feb 14, 2019

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1598765158",
    "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": "419-479-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTED",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35061299H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.