Individual provider Active NPI

Thomas C Bolig

  • Pulmonary Disease Physician
  • Maumee, OH
National Provider Identifier
1962996785
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036.156516 Issued in IL
Practice address
1661 Holland Rd Ste 200
Maumee, OH 43537-1659
Phone
(419) 843-7800
Fax
(419) 843-3444
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301114716 MI
Pulmonary Disease Physician 207RP1001X 036.156516 IL Primary

Addresses

Primary practice location

1661 Holland Rd Ste 200
Maumee, OH 43537-1659

Mailing address

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561

Other practice location 1

676 N Saint Clair St Ste 2100
Chicago, IL 60611-2993
Phone (312) 695-1800

Other practice location 2

2702 Navarre Ave Ste 310
Oregon, OH 43616-3224
Phone (419) 843-7800

Other practice location 3

251 E Huron St
Chicago, IL 60611-2908
Phone (734) 620-5569

Other identifiers 1

IdentifierTypeStateIssuer
0131518MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240628001539 IL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0446502843
I20250612000774 OH Practitioner - Pulmonary Disease 0446502843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

1661 Holland Rd
Maumee, OH 43537-4207
Phone (419) 843-7800

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 479-5690

2702 Navarre Ave
Oregon, OH 43616-3224

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

5220 Alexis Rd
Sylvania, OH 43560-2504
Phone (419) 479-5318

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.156516ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Jun 5, 2025 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Jun 5, 2025 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Wood Health Company LLC Past Accepting new patients

Locations

1661 Holland Rd
Ste 200
Maumee, OH 43537
Phone (419) 891-6201

1661 Holland Rd
Maumee, OH 43537
Phone (419) 720-2005

1050 Isaac Streets Dr
Ste 134
Oregon, OH 43616
Phone (419) 696-7200

2702 Navarre Ave
Ste 310
Oregon, OH 43616
Phone (419) 697-0569

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thomas.boligdo.p1@direct.whc.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1962996785",
    "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": "436234299",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HOLLAND RD STE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371659",
            "telephone_number": "419-843-7800",
            "fax_number": "419-843-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112993",
            "country_code": "US",
            "telephone_number": "312-695-1800",
            "fax_number": "312-695-4741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2702 Navarre Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163224",
            "country_code": "US",
            "telephone_number": "419-843-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "734-620-5569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIG",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301114716",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.156516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131518",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.