Active NPI
University of Toledo Physicians LLC
- Internal Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120903 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Diagnostic Radiology Physician
- Toledo, OH
- NPI 1396378261
O20031205000019
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1669005534
O20031205000019
-
- Sports Medicine (Family Medicine) Physician
- Toledo, OH
- NPI 1215240676
O20031205000019
National Provider Directory
National Provider Directory- Tax ID family
- Sunforest Behavioral Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Toledo, OH
- NPI 1700617198
Member organizations 3
Organizations listed as members of this organization in the National Provider Directory.
-
dba Dialysis Partners of Northwest Ohio
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Toledo, OH
- NPI 1740213677
Member Of
-
dba Dialysis Partners of Northwest Ohio
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sylvania, OH
- NPI 1922311612
Member Of
-
dba Dialysis Partners of Northwest Ohio
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oregon, OH
- NPI 1932131851
Member Of
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Toledo, OH
- NPI 1659878239
-
- Endocrinology, Diabetes & Metabolism Physician
- Toledo, OH
- NPI 1932195203
-
- Rheumatology Physician
- Toledo, OH
- NPI 1497240667
-
- Family Medicine Physician
- Toledo, OH
- NPI 1023250073
-
- Sleep Medicine (Internal Medicine) Physician
- Toledo, OH
- NPI 1760647507
-
- Therapeutic Radiology Physician
- Toledo, OH
- NPI 1639175565
-
- Nurse Practitioner
- Toledo, OH
- NPI 1699397448
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1023003530
-
- Gastroenterology Physician
- Toledo, OH
- NPI 1497196992
-
- Neurology Physician
- Toledo, OH
- NPI 1922094960
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
- University of Toledo Dentists, Inc
- University of Toledo Medical Center
- University of Toledo Medical Ctr - 340B (UTCARE Pharmacy - 340 B)
- University of Toledo Physicians LLC
- University of Toledo Physicians LLC
- University of Toledo Physicians, LLC
- University of Toledo Physicians, LLC
- University of Toledo Physicians, LLC
- University of Toledo Psychology Clinic
- University of Toledo,Medical Centre
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.