Individual provider Active NPI

Abhay R Shelke, MD

  • Hematology & Oncology Physician
  • Toledo, OH
National Provider Identifier
1861682916
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35121941 Issued in OH
Practice address
3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone
(419) 517-1200
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35121941 OH Primary

Addresses

Primary practice location

3404 W Sylvania Ave
Toledo, OH 43623-4467

Mailing address

2200 Jefferson Ave
Toledo, OH 43604-7101

Other identifiers 1

IdentifierTypeStateIssuer
0088972MedicaidOH

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
I20130918000733 OH Practitioner - Hematology/Oncology 0446412225 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Medical Partners Northern Region Specialty Care LLCGroup PAC ID 9739585480, 86 clinicians

Practice addresses (Care Compare)

12623 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone (567) 368-1520

1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 784-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35121941OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jan 17, 2017 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jan 17, 2017 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Aug 1, 2013 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Aug 1, 2013 Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

1426 Scott St
Napoleon, OH 43545
Phone (419) 599-5600

12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400

4126 N Holland Sylvania Rd
Ste 105
Toledo, OH 43623
Phone 4194795605 ext. 5711

Interoperability endpoints

  • Direct secure messaging: ashelke83476@direct.bsmhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1861682916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234467",
            "telephone_number": "419-517-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELKE",
        "first_name": "ABHAY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35121941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088972",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.