Individual provider Active NPI

Joseph Paul Ocasio Jr., PA-C

  • Physician Assistant
  • Adrian, MI
National Provider Identifier
1639617673
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008917 Issued in MI
Practice address
777 Kimole LN Ste 240
Adrian, MI 49221-1400
Phone
(517) 263-9491
Fax
(517) 263-9591
NPI assigned
Feb 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004998RX OH
Physician Assistant 363A00000X 5601008917 MI Primary

Addresses

Primary practice location

777 Kimole LN Ste 240
Adrian, MI 49221-1400

Mailing address

24963 Reddington CT
Perrysburg, OH 43551-8881
Phone (440) 670-8891

Other practice location 1

4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Phone (419) 517-0146

Other practice location 2

3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5555

Other identifiers 1

IdentifierTypeStateIssuer
0206854MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jocasio133312@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170315001758 OH Practitioner - Physician Assistant 8921383811 Reassigns benefits to 2 organizations
I20201007001472 MI Practitioner - Physician Assistant 8921383811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians

Practice addresses (Care Compare)

200 E Russell Rd
Unit C
Tecumseh, MI 49286-2072
Phone (517) 263-9491

777 Kimole LN
Adrian, MI 49221-1400

Hospital & facility affiliations

  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004998RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC CurrentSince Mar 19, 2019 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Jan 29, 2017 Accepting new patients
University of Toledo Physicians LLC Physician Assistant CurrentSince Mar 19, 2019 Accepting new patients
West Toledo Urgent Care LLC Past Accepting new patients

Locations

L4189
Columbus, OH 43260

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000

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.

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1639617673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24963 REDDINGTON CT",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435518881",
            "telephone_number": "440-670-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KIMOLE LN STE 240",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211400",
            "telephone_number": "517-263-9491",
            "fax_number": "517-263-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4405 N Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233529",
            "country_code": "US",
            "telephone_number": "419-517-0146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142426",
            "country_code": "US",
            "telephone_number": "419-383-5555",
            "fax_number": "419-383-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCASIO",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2023-11-03",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004998RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206854",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jocasio133312@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 Adrian, MI

Sources for this page

Verify at the official NPI Registry.