Robert G Axonovitz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35048851A Issued in OH

Practice address

7640 Sylvania Ave
I
Sylvania, OH 43560-9729

Phone

(419) 517-4000

Fax

(419) 517-4001

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Internal Medicine

Education

University of Toledo College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Smith, Szabo, and ValadeGroup PAC ID 2163527904, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
• University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

Merit-based Incentive Payment System (MIPS)

Final score

90.27 of 100Reported as group

Quality

91.48

Promoting interoperability

100

Improvement activities

40

Cost

76.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.axonovitz.1@18210.direct.athenahealth.com

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.

• DRS. Smith, Szabo, and Valade

  • Specialist
  • Toledo, OH
  • NPI 1699858688
  Medicare reassignment Care Compare group NPD
• West Toledo Internal Medicine Associates, Inc.

  • Internal Medicine Physician
  • Sylvania, OH
  • NPI 1194853556
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical University of Ohio at Toledo

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1811971302
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• Ohioans Home Healthcare, Inc

  • Home Health Agency
  • Perrysburg, OH
  • NPI 1093836546
  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation
• Wood County Hospital Assn

  • General Acute Care Hospital
  • Bowling Green, OH
  • NPI 1790751253
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1730180407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE",
            "address_2": "I",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609729",
            "telephone_number": "419-517-4000",
            "fax_number": "419-517-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE",
            "address_2": "I",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609729",
            "telephone_number": "419-517-4000",
            "fax_number": "419-517-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXONOVITZ",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35048851A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0540543",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000130367",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4119606",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "795718",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hana J Awada-Mitchell, CNM
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• April Louise Baker, LPN
• Marianna Serena Baker, D.D.S.
• Rachel Baker, APRN, FNP-C
• Shazeeda Bakhsh, APRN-CNP

• Internal Medicine Physician in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.