Kevin Andrew Phelps, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004569 Issued in OH

Practice address

3333 Glendale Ave
Toledo, OH 43614

Phone

(419) 383-5555

Fax

(419) 383-3113

NPI assigned

Nov 30, 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 1

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

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Merit-based Incentive Payment System (MIPS)

Final score

88.34 of 100Reported as group

Quality

69.17

Promoting interoperability

99

Improvement activities

40

Cost

75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kphelps25450@direct.utoledo.edu

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.

• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033
  Medicare reassignment Care Compare group NPD
• Medical University of Ohio at Toledo

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1811971302
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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
• 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

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1770567265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-5555",
            "fax_number": "419-383-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43614",
            "telephone_number": "419-383-5555",
            "fax_number": "419-383-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0729715",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Counter LLC
• Pharmacy Counter, LLC
• Pharmacy Counter, LLC
• Judith Marie Pheatt, PHD
• Timothy Patrick Phelan, MD
• Lindsay A Phelps
• Sarah Phelps, CNP
• Barbara A Phibbs, L. AC., OMD
• Garth D Phibbs, M.D.
• Tracy Phifer, LPN

• Family Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.