Individual provider Active NPI

Layth Maolood, MD, FAAP

  • Internal Medicine Physician
  • Ida, MI
National Provider Identifier
1790788701
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068044 Issued in MI
Practice address
3160 Lewis Ave
Ida, MI 48140-9703
Phone
(888) 432-3621
Fax
(866) 390-9167
NPI assigned
May 23, 2005
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35078595 OH
Pediatrics Physician 208000000X 35078595 OH
Pediatrics Physician 208000000X 4301068044 MI
Internal Medicine Physician 207R00000X 4301068044 MI Primary

Addresses

Primary practice location

3160 Lewis Ave
Ida, MI 48140-9703

Mailing address

3160 Lewis Ave
Ida, MI 48140-9703
Phone (888) 432-3621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmaolood13406@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040211001252 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5991699753 Reassigns benefits to 3 organizations
I20040323000846 MI Practitioner - Internal Medicine 5991699753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

3160 Lewis Ave
Ida, MI 48140-9703
Phone (888) 432-3621

6400 Monroe St
Suite C
Sylvania, OH 43560-1400
Phone (844) 436-4987

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078595OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Group, P.C. Internal Medicine CurrentSince Jun 7, 2021 Accepting new patients
Community Home Physicians, LLC Internal Medicine CurrentSince Mar 16, 2024 Accepting new patients
Theoria Medical Internal Medicine CurrentSince May 11, 2024 Accepting new patients
Alo Med PLLC CurrentSince Apr 30, 2003 Accepting new patients
Geriatric Associates of Michigan, PLLC CurrentSince Oct 26, 2024 Accepting new patients
JS Dudovitz, Inc Past Accepting new patients
Hospitalist Medicine Physicians of Lucas County, LTD Internal Medicine Past Accepting new patients
The Toledo Hospital Pediatrics Past Accepting new patients
Hospitalist Medicine Physicians of Sylvania LTD Internal Medicine Past Accepting new patients

Locations

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

3160 Lewis Ave
Ida, MI 48140
Phone (630) 320-6871

16800 24 Mile Rd
Ste 4
Macomb, MI 48042
Phone (586) 786-1800

137 Keveling Dr
Saline, MI 48176
Phone (586) 393-1330

14030 E 14 Mile Rd
Warren, MI 48088
Phone (586) 286-3260

28655 Hoover Rd
Warren, MI 48093
Phone (586) 393-1330

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

717 S 30th St
Newark, OH 43056
Phone (740) 522-1171

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

6400 Monroe St
Ste C
Sylvania, OH 43560
Phone (419) 540-1886

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

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

4647 Monroe St
Toledo, OH 43623
Phone (567) 290-3500

624 Main St
Ste 2
Toledo, OH 43605
Phone (419) 292-0682

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

Interoperability endpoints

  • Direct secure messaging: layth.maolood.1@960.direct.athenahealth.com
  • Direct secure messaging: lmaolood13406@direct.promedica.org
  • Direct secure messaging: lmaolood13406@epicdirect.promedica.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1790788701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 LEWIS AVE",
            "city": "IDA",
            "state": "MI",
            "postal_code": "481409703",
            "telephone_number": "888-432-3621",
            "fax_number": "866-390-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 LEWIS AVE",
            "city": "IDA",
            "state": "MI",
            "postal_code": "481409703",
            "telephone_number": "888-432-3621",
            "fax_number": "866-390-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAOLOOD",
        "first_name": "LAYTH",
        "name_prefix": "Dr.",
        "credential": "MD, FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078595",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35078595",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301068044",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmaolood13406@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 Ida, MI

Sources for this page

Verify at the official NPI Registry.