NPIMap

Individual provider Active NPI

Thomas J Mehelas, M.D.

  • Ophthalmology Physician
  • Toledo, OH
National Provider Identifier
1902893241
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35047094 Issued in OH
Practice address
3335 Meijer Dr
Suite 300
Toledo, OH 43617-3104
Phone
(419) 841-4442
Fax
(419) 841-3337
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35047094 OH Primary
Ophthalmology Physician 207W00000X 4301052580 MI

Addresses

Primary practice location

3335 Meijer Dr
Suite 300
Toledo, OH 43617-3104

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 473-3561

Other identifiers 3

IdentifierTypeStateIssuer
0564563MedicaidOH
TO9121521OtherOHOH GROUP MEDICARE
4886624MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35047094OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Reed Vision Associates, P.C. Ophthalmology Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1902893241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 MEIJER DR",
            "address_2": "SUITE 300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173104",
            "telephone_number": "419-841-4442",
            "fax_number": "419-841-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHELAS",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35047094",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301052580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0564563",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH GROUP MEDICARE",
            "identifier": "TO9121521",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4886624",
            "state": "MI"
        }
    ],
    "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 Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.