Organization Active NPI

Federman Wellcare, LLC

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1891649521
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FEDERMAN WELLCARE, LLC
Practice address
3425 Executive Pkwy Ste 117
Toledo, OH 43606-1333
Phone
(419) 469-2102
Fax
(419) 214-5850
NPI assigned
Feb 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Susan Michelle Federman, MDNPI 1063405033
Title
Physician-Owner
Phone
(419) 469-2102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3425 Executive Pkwy Ste 117
Toledo, OH 43606-1333

Mailing address

3425 Executive Pkwy Ste 117
Toledo, OH 43606-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260616000477 OH Part B Supplier - Clinic/Group Practice 3870065410 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2167497Federman Wellcare3425 Executive Parkway Suite 117, Toledo, OH 43606Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory

Locations

3425 Executive Pkwy
Ste 117
Toledo, OH 43606
Phone (419) 469-2102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1891649521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY STE 117",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061333",
            "fax_number": "419-214-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY STE 117",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061333",
            "telephone_number": "419-469-2102",
            "fax_number": "419-214-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERMAN WELLCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "FEDERMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "419-469-2102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.