Organization Active NPI

University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1942296033
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY OF TOLEDO PHYSICIANS LLC
Practice address
3000 Arlington Ave
Toledo, OH 43614-2595
Phone
(419) 383-5000
NPI assigned
Sep 23, 2005
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Tracey Berry
Title
Director, Medical Staff Services
Phone
(419) 383-5330

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X OH
Anesthesiology Physician 207L00000X OH
Internal Medicine Physician 207R00000X OH Primary
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OH
Pediatrics Physician 208000000X OH
Physical Medicine & Rehabilitation Physician 208100000X
Psychiatry Physician 2084P0800X OH
Diagnostic Radiology Physician 2085R0202X OH
Surgery Physician 208600000X OH
Urology Physician 208800000X OH
Physician Assistant 363A00000X

Addresses

Primary practice location

3000 Arlington Ave
Toledo, OH 43614-2595

Mailing address

4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (419) 383-5330

Other identifiers 1

IdentifierTypeStateIssuer
2120903MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000019 OH Part B Supplier - Clinic/Group Practice 8729983416 Receives reassigned benefits from 583 practitioners
3 other NPIs on this enrollment
Practice locations: Toledo, OH; Wauseon, OH; Upper Sandusky, OH; Waterville, OH; Bowling Green, OH; Bellevue, OH; Bryan, OH; Lima, OH…

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sunforest Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 50)

905 N Macomb St
Monroe, MI 48162
Phone (734) 240-4851

1400 W Main St
Ste 200
Bellevue, OH 44811

950 W Wooster St
#204
Bowling Green, OH 43402

960 W Wooster St
Ste 110
Bowling Green, OH 43402
Phone (419) 353-3666

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

433 W High St
Fl 2
Bryan, OH 43506

L4189
Columbus, OH 43260

1252 Ralston Ave
Ste 302
Defiance, OH 43512
Phone (419) 783-6996

1656 Henthorne Dr
Maumee, OH 43537
Phone (419) 724-3666

3100 Main St
Maumee, OH 43537

5757 Monclova Rd
Ste 1
Maumee, OH 43537
Phone (419) 931-0030

5757 Monclova Rd
Ste 100
Maumee, OH 43537

5757 Monclova Rd
Ste 2
Maumee, OH 43537
Phone (419) 479-5327

485 W Market St
Medicine
Tiffin, OH 44883

71 S Washington St
Tiffin, OH 44883
Phone (419) 447-3691

1000 Regency Ct
Ste 200
Toledo, OH 43623
Phone (419) 383-2450

1000 Regency Ct
Ste 208
Toledo, OH 43623
Phone (419) 214-4847

1125 Hospital Dr
#1650
Toledo, OH 43614

1125 Hospital Dr
Fl 1
Toledo, OH 43614
Phone (419) 383-3761

1125 Hospital Dr
Fl 2
Toledo, OH 43614
Phone (419) 383-3578

1125 Hospital Dr
Ste 1040
Toledo, OH 43614

1125 Hospital Dr
Ste 1620
Toledo, OH 43614
Phone (419) 383-6105

1125 Hospital Dr
Ste 1650
Toledo, OH 43614
Phone (419) 226-9301

1325 Conference Dr
Ste 2010
Toledo, OH 43614
Phone (419) 383-6644

1400 E Medical Loop
Toledo, OH 43614
Phone (419) 383-3815

Practitioners & affiliated clinicians

Practitioners 857

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 857

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1942296033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 DORR ST # MS 840",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040",
            "telephone_number": "419-383-5330",
            "fax_number": "419-383-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TOLEDO PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "419-383-5330"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120903",
            "state": "OH"
        }
    ],
    "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 Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.