Individual provider Active NPI

Todd Aaron Meredith, M.D.

  • General Practice Physician
  • Oregon, OH
National Provider Identifier
1841283272
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35079145M Issued in OH
Practice address
3028 Navarre Ave
Oregon, OH 43616-3308
Phone
(419) 697-6850
NPI assigned
Aug 31, 2005
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35079145M OH Primary

Addresses

Primary practice location

3028 Navarre Ave
Oregon, OH 43616-3308

Mailing address

26484 Carrington Blvd
Perrysburg, OH 43551-9114
Phone (419) 283-4497

Other identifiers 5

IdentifierTypeStateIssuer
0826388MedicaidOH
26-3239286OtherOHBWC
65124918300OtherOHBWC
2912415781OtherNRCME
35079145MOtherOHSTATE LICENSE

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
I20050517000442 OH Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 9436190790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Internal Medicine
Education
Medical College of Ohio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3028 Navarre Ave
Oregon, OH 43616-3308
Phone (419) 697-6850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079145MOHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Ohio PA Co CurrentSince Jul 25, 2019 Accepting new patients
Great Lakes Medical Services LLC Past Accepting new patients
Community and Rural Health Services PastSince Jan 29, 2014 Accepting new patients
Northwest Ohio Urgent Care Inc Past Accepting new patients

Locations

7730 First Pl
Ste D
Oakwood Vlg, OH 44146
Phone (440) 735-0438

3028 Navarre Ave
Oregon, OH 43616
Phone (419) 687-6850

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1841283272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26484 CARRINGTON BLVD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519114",
            "telephone_number": "419-283-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163308",
            "telephone_number": "419-697-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "TODD",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35079145M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0826388",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "26-3239286",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "65124918300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NRCME",
            "identifier": "2912415781",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35079145M",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.