Active NPI
Riadh Cheddadi
- Surgery Physician
- Toledo, OH
National Provider Identifier
1972491751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2025025714
- Practice address
- 2200 Jefferson Ave
Toledo, OH 43604-7101 - Phone
- (419) 251-1400
- Fax
- (419) 251-1797
- NPI assigned
- Jun 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Surgery Physician | 208600000X | 2025025714 | MO | Primary |
Addresses
Primary practice location
2200 Jefferson Ave
Toledo, OH 43604-7101
Mailing address
2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-6596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250707002825 | MO | Order and Referring Only - General Surgery | 9032623616 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025025714 | MO | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1972491751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 CHERRY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-6596",
"fax_number": "419-251-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101",
"telephone_number": "419-251-1400",
"fax_number": "419-251-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEDDADI",
"first_name": "RIADH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-27",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2025025714",
"primary": true
}
],
"identifiers": [],
"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 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.