Martin M Debeukelaer, MD

Key facts

NPI

1912920562

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nephrology Physician 2080P0210X

License

35045412 (OH)

Practice address

2222 Cherry St
Suite 2300
Toledo, OH 43608-2673

Phone

(419) 251-8030

Fax

(419) 251-7764

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• University of Toledo Physicians LLC Internal Medicine Physician · Toledo, OH · NPI 1942296033
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912920562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436241120",
            "telephone_number": "419-251-2673",
            "fax_number": "419-251-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "address_2": "SUITE 2300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-8030",
            "fax_number": "419-251-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBEUKELAER",
        "first_name": "MARTIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "OH",
            "license": "35045412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435087",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

• Amy Deanda
• Alexis Nicole-Lynn Deangelis
• Julie Dearing, MSN, RN
• Erich Karl Deason, CRNA
• Laura L Debenedetti, MD
• Joseph Michael Debiase, MD
• Ryan Debiec
• Heather Rae Debouver, LSW
• Debra'S Home Care / Residental Facilities / Educational Services
• Jaclyn M Debruyne, CNP

All providers in Toledo, OH · Pediatric Nephrology Physician in Ohio