Individual provider Active NPI

Randall S Schlievert, M.D.

  • Child Abuse Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1740288307
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
License
35.079000 Issued in OH
Practice address
3120 Glendale Ave
Toledo, OH 43614-5811
Phone
(419) 383-3771
Fax
(419) 383-3162
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35079000 OH
Child Abuse Pediatrics Physician 2080C0008X 35.079000 OH Primary

Addresses

Primary practice location

3120 Glendale Ave
Toledo, OH 43614-5811

Mailing address

3355 Glendale Ave
3Rd Floor
Toledo, OH 43614-2426
Phone (419) 383-7146

Other practice location 1

2222 Cherry St Ste 2000
Toledo, OH 43608-2673
Phone (419) 251-8047

Other identifiers 1

IdentifierTypeStateIssuer
2259998MedicaidOH

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
I20040927000502 OH Practitioner - Pediatric Medicine 9739158874 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079000OHMDPediatrics Physician
35.079000OHMDChild Abuse Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC Pediatrics CurrentSince Mar 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University of Toledo Physicians LLC Pediatrics Past Accepting new patients

Locations

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

2222 Cherry St
Ste 2000
Toledo, OH 43608
Phone (419) 251-8015

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1740288307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE",
            "address_2": "3RD FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-7146",
            "fax_number": "419-383-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436145811",
            "telephone_number": "419-383-3771",
            "fax_number": "419-383-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Cherry St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082673",
            "country_code": "US",
            "telephone_number": "419-251-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLIEVERT",
        "first_name": "RANDALL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35079000",
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "OH",
            "license": "35.079000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2259998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.