Active NPI
William M Scovell Jr., MD
- Pediatrics Physician
- Toledo, OH
National Provider Identifier
1669465621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35079388
- Practice address
- 2121 Hughes Dr
Suite 300
Toledo, OH 43606-3845 - Phone
- (419) 291-2121
- Fax
- (419) 479-6017
- NPI assigned
- Aug 25, 2005
- 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 | 35079388 | OH | Primary |
Addresses
Primary practice location
2121 Hughes Dr
Suite 300
Toledo, OH 43606-3845
Mailing address
2121 Hughes Dr
Suite 300
Toledo, OH 43606-3845
Phone (419) 291-2121
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17008 | Other | OH | HPM |
| 2246126 | Other | OH | BCMH |
| 7775293 | Other | OH | AETNA |
| 12-03688 | Other | MI | UHC |
| 000000203188 | Other | OH | ANTHEM |
| 12-03664 | Other | OH | UHC |
| 4061 | Other | OH | PHC |
| 2246126 | Medicaid | OH | |
| 000000216366 | Other | MI | ANTHEM |
| 3505802321 | Other | MI | BCBS MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wscovell13464@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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079388 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Past | Accepting new patients | |
| Promedica Central Physicians | Past | Accepting new patients |
Interoperability endpoints
- wscovell13464@direct.promedica.org
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669465621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HUGHES DR",
"address_2": "SUITE 300",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063845",
"telephone_number": "419-291-2121",
"fax_number": "419-479-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 HUGHES DR",
"address_2": "SUITE 300",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063845",
"telephone_number": "419-291-2121",
"fax_number": "419-479-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOVELL",
"first_name": "WILLIAM",
"middle_name": "M",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35079388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "17008",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "2246126",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7775293",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "12-03688",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000203188",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "12-03664",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHC",
"identifier": "4061",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2246126",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000216366",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "3505802321",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wscovell13464@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 Jul 13, 2026; 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.