Individual provider Active NPI

Raja Assad Hanif, M.D.

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1659513695
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.097776 Issued in OH
Practice address
1850 Eastgate Rd
Ste I
Toledo, OH 43614-3024
Phone
(419) 385-5709
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.097776 OH Primary

Addresses

Primary practice location

1850 Eastgate Rd
Ste I
Toledo, OH 43614-3024

Mailing address

4235 Secor Rd
Toledo, OH 43623
Phone (419) 473-3561

Other identifiers 3

IdentifierTypeStateIssuer
603271OtherOHBUCKEYE COMMUNITY HEALTH
021367OtherOHPARAMOUNT HEALTH
0079347MedicaidOH

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
I20150317000222 OH Practitioner - HospitalistPractitioner - Family Practice 3274850037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

1850 Eastgate Rd
Suite I
Toledo, OH 43614-3024
Phone (419) 385-5709

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Incare Health Solutions, LLC CurrentSince May 1, 2015 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Inpatient Consultants of Ohio, Inc CurrentSince Apr 1, 2015 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jun 1, 2017 Accepting new patients
Incare Health Solutions LLC CurrentSince May 1, 2015 Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
The Toledo Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

1107 S Main St
Ste 300
Bowling Green, OH 43402
Phone (419) 806-4222

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

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

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1850 Eastgate Rd
Ste I
Toledo, OH 43614
Phone (419) 385-0002

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 9

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1659513695",
    "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": "43623",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 EASTGATE RD",
            "address_2": "STE I",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143024",
            "telephone_number": "419-385-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIF",
        "first_name": "RAJA",
        "middle_name": "ASSAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.097776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "603271",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH",
            "identifier": "021367",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.