Organization Active NPI

Mdusa, LLC

  • Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1982238812
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MDUSA, LLC
Practice address
7310 Kings Park Rd
Toledo, OH 43617-2323
Phone
(419) 843-8000
NPI assigned
Feb 29, 2020
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Vinod Bhandari, MDNPI 1265581672
Title
Ceo
Phone
(419) 843-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Counseling Psychologist 103TC1900X NU
Dermatology Physician 207N00000X NU
Pediatric Dermatology Physician 207NP0225X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Psychiatry Physician 2084P0800X NU Primary
Addiction Psychiatry Physician 2084P0802X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Nurse Practitioner 363L00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

7310 Kings Park Rd
Toledo, OH 43617-2323

Mailing address

7310 Kings Park Rd
Toledo, OH 43617-2323
Phone (419) 843-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220316003900 FL Part B Supplier - Clinic/Group Practice 7416373709 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL
O20220621000328 MI Part B Supplier - Clinic/Group Practice 7416373709 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI
O20240926001395 NY Part B Supplier - Clinic/Group Practice 7416373709 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1982238812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 KINGS PARK RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172323",
            "telephone_number": "419-843-8000",
            "fax_number": "833-963-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 KINGS PARK RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172323",
            "telephone_number": "419-843-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDUSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-843-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 20, 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.