Active NPI
Joseph Alecusan, MD
- Pediatrics Physician
- Toledo, OH
National Provider Identifier
1609436377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.145610
- Practice address
- 2109 Hughes Dr
Toledo, OH 43606-3856 - Phone
- (419) 291-7322
- Fax
- (419) 479-2617
- NPI assigned
- Jun 15, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.145610 | OH | Primary |
Addresses
Primary practice location
2109 Hughes Dr
Toledo, OH 43606-3856
Mailing address
2109 Hughes Dr
Toledo, OH 43606-3856
Phone (419) 291-7322
Other practice location 1
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jalecusan171034@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.145610 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blanchard Valley Regional Health Center | Pediatrics | Current | Accepting new patients |
| Blanchard Valley Regional Health Center | Pediatrics | Current | Accepting new patients |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Toledo Childrens Hospital | Past | Accepting new patients | |
| The Toledo Hospital | Pediatrics | Past | Accepting new patients |
Locations
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Findlay, OH
- NPI 1083665251
Pediatrics
-
- Rehabilitation Hospital Unit
- Findlay, OH
- NPI 1578336400
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1699718320
Pediatrics
-
- Children's Hospital
- Toledo, OH
- NPI 1205837259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1609436377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 HUGHES DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063856",
"telephone_number": "419-291-7322",
"fax_number": "419-479-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 HUGHES DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063856",
"telephone_number": "419-291-7322",
"fax_number": "419-479-2617"
}
],
"practiceLocations": [
{
"address_1": "2142 N Cove Blvd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063895",
"country_code": "US",
"telephone_number": "419-291-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALECUSAN",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-15",
"last_updated": "2023-11-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.145610",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jalecusan171034@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.