Active NPI 1003000142 Individual Practitioner Male Practitioner

Dr. Rashid Khalil , MD

Anesthesiology • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rashid Khalil, MD is a certified Anesthesiology practicing in Toledo, OH. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Khalil delivers high-quality medical care to the local community at 4126 N HOLLAND SYLVANIA RD.

Dr. Khalil maintains professional affiliations with University Pain Clinic Associates Pllc, Mercy Health Physicians North Specialty Care Llc, Premier Pain Centers Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4126 N Holland Sylvania Rd
Suite 220

Toledo, OH 436233536

Telephone 4195177624

Fax 4195177656

Associated Practice Facility / Clinic

🏢 Comprehensive Care Family Practice, P.c. Facility NPI 1053393181

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Toledo, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

88 Specialists

Practicing in Toledo, OH (2153 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khalil (27 Years) 27 Yrs

Toledo Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	147	$343.64	$125.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg	260	20	$15.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	115	65	$136.52	$85.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	38	$144.86	$92.16
99213 Established patient office or other outpatient visit, typically 15 minutes	57	42	$98.84	$62.15
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	52	47	$19.00	$11.56
62323 Injection of substance into lower spine canal using imaging guidance	52	43	$641.69	$130.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$275.96	$159.06
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	44	29	$735.89	$155.05
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	44	29	$385.57	$84.97
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	38	36	$851.53	$293.70
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	37	35	$269.62	$97.37
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	23	22	$469.61	$113.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$199.73	$126.84
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	17	17	$355.88	$120.68
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	16	14	$30.00	$16.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$269.40	$170.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$167.00	$105.27
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	11	11	$135.00	$48.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	127	$346.16	$127.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg	160	14	$14.25	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	60	$144.00	$91.11
99213 Established patient office or other outpatient visit, typically 15 minutes	89	63	$136.07	$84.47
99213 Established patient office or other outpatient visit, typically 15 minutes	57	41	$98.00	$62.73
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	57	48	$19.00	$12.03
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	47	41	$36.87	$12.19
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	44	28	$295.14	$126.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$322.64	$161.00
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	43	27	$166.05	$73.52
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	42	29	$861.95	$166.02
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	40	28	$463.07	$91.56
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	29	28	$1072.76	$302.13
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	29	28	$335.72	$84.92
62323 Injection of substance into lower spine canal using imaging guidance	28	23	$161.00	$95.09
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	26	26	$708.12	$271.72
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	26	26	$188.31	$84.22
62323 Injection of substance into lower spine canal using imaging guidance	25	23	$907.36	$146.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$198.00	$128.82
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	19	16	$361.84	$122.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$214.00	$122.38
64628 Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones	14	14	$747.00	$443.64
64629 Heat destruction of intraosseous basivertebral nerve in additional bone of spine in lower back	13	13	$350.00	$207.54
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	12	11	$254.83	$112.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$266.18	$109.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	260	21	$12.23	$0.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	221	123	$19.00	$12.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	120	$307.38	$126.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	81	$144.00	$95.07
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	82	55	$287.27	$125.81
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	78	52	$159.38	$72.33
99213 Established patient office or other outpatient visit, typically 15 minutes	71	55	$134.00	$86.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	57	$214.00	$140.77
62323 Injection of substance into lower spine canal using imaging guidance	60	54	$161.00	$95.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$325.00	$164.31
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$98.00	$65.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$198.00	$132.88
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	38	34	$684.00	$257.85
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	34	31	$158.12	$73.55
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	30	25	$385.00	$130.63
0275T Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin	26	26	$2899.88	$651.71
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	22	19	$295.17	$107.02
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	21	14	$146.14	$72.47
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	21	14	$262.76	$128.23
64628 Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones	18	18	$747.00	$455.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$267.00	$168.32
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	16	13	$135.00	$50.78
64629 Heat destruction of intraosseous basivertebral nerve in additional bone of spine in lower back	13	13	$350.00	$215.46
62323 Injection of substance into lower spine canal using imaging guidance	11	11	$2244.00	$269.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	250	17	$1.66	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	118	$212.96	$126.62
99213 Established patient office or other outpatient visit, typically 15 minutes	150	83	$131.93	$88.16
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	140	68	$18.95	$12.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$286.55	$166.64
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	40	32	$343.75	$120.73
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	37	19	$124.54	$66.91
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	28	20	$502.29	$250.36
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	27	20	$290.81	$131.19
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	26	19	$161.54	$75.67
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	25	23	$135.00	$52.09
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	19	12	$243.58	$124.53
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	19	12	$135.47	$71.54
62323 Injection of substance into lower spine canal using imaging guidance	15	14	$161.00	$98.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$263.14	$177.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$79.50	$54.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	304	100	$109.00	$70.01
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	152	79	$18.00	$12.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	84	$159.00	$104.20
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	73	21	$98.63	$58.66
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	52	42	$354.33	$126.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$246.00	$158.67
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	37	21	$365.62	$217.42
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	34	28	$135.00	$52.88
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	27	19	$290.81	$128.77
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	26	18	$164.77	$77.86
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	25	17	$103.20	$58.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$213.00	$142.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	224	106	$18.00	$11.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	89	$159.00	$99.88
99213 Established patient office or other outpatient visit, typically 15 minutes	138	97	$109.00	$69.29
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	79	20	$98.43	$57.91
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	74	57	$345.61	$124.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$246.00	$153.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	40	$115.00	$76.72
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	49	41	$135.00	$51.68
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	47	32	$292.36	$128.06
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	44	31	$162.27	$74.25
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	40	28	$165.55	$74.61
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	39	20	$365.13	$213.26
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$96.00	$48.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$191.00	$126.77
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	20	11	$222.50	$117.44
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	12	$134.11	$62.23
62323 Injection of substance into lower spine canal using imaging guidance	14	13	$159.00	$91.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$305.00	$199.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	251	135	$18.00	$12.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	109	$159.00	$102.10
99213 Established patient office or other outpatient visit, typically 15 minutes	148	86	$109.00	$69.36
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	118	84	$410.17	$137.23
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	64	15	$102.00	$55.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	47	$115.00	$75.77
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	60	48	$135.00	$50.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$191.00	$121.60
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	36	11	$707.00	$284.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$246.00	$147.31
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	35	29	$289.06	$127.40
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	34	28	$166.94	$74.47
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	34	28	$163.06	$72.13
99213 Established patient office or other outpatient visit, typically 15 minutes	29	21	$96.00	$49.51
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	27	16	$382.37	$212.83
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	18	13	$152.44	$74.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$305.00	$200.64
62323 Injection of substance into lower spine canal using imaging guidance	14	12	$159.00	$94.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$213.00	$140.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	140	$159.00	$101.31
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	158	83	$18.00	$11.94
99213 Established patient office or other outpatient visit, typically 15 minutes	129	89	$109.00	$69.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$246.00	$156.27
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	61	48	$392.21	$131.26
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	57	11	$99.37	$60.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	43	$213.00	$136.72
62323 Injection of substance into lower spine canal using imaging guidance	40	32	$159.00	$99.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$305.00	$189.85
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	35	21	$142.80	$72.00
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	33	13	$707.00	$307.48
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	31	25	$139.35	$52.25
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	25	16	$168.00	$77.18
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	25	16	$302.00	$133.60
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	25	16	$172.00	$78.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$115.00	$72.93
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	22	14	$202.27	$111.74
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	22	12	$372.18	$216.39
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	22	14	$112.50	$63.80
64492 Injections of upper or middle spine facet joint using imaging guidance	22	14	$113.64	$64.50
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	17	13	$125.00	$41.12

Medical Specialties & State Licenses

CMS Verified: 2026-04-27

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License TX W3823

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology - Pain Medicine

NUCC Taxonomy Code: 207LP2900X

State License MI 4301093657

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License OH 35096817

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0051712 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians North Specialty Care Llc

2600 Navarre Ave, Oregon, OH 436163207

Phone: 4196968877

Premier Pain Centers Pa

2071 N Collins Blvd, Richardson, TX 750802696

Phone: 4695624188

University Pain Clinic Associates Pllc

4160 John R St, Detroit, MI 482012021

Phone: 3137451293

Mercy Health Physicians North Specialty Care Llc

3900 Sunforest Ct, Toledo, OH 436234481

Phone: 4194751600

Mercy Health Physicians North Specialty Care Llc

1360 Arrowhead Dr, Maumee, OH 435371728

Phone: 4196965555

Secondary Practice Locations

2071 N Collins Blvd Ste 100

Richardson, TX 750802696

Phone: 4695624188

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Ashley Smith , CNP, APRN

Nurse Practitioner - Family

NPI 1023850179

Certified Nurse Practitioner, Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2026

Anesthesiology (License #W3823 in TX)

✅

NPI Profile Active August 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 03, 2015

Registered at 4126 N HOLLAND SYLVANIA RD, SUITE 220, TOLEDO, OH 436233536 (Tel: 4195177624)

📍

Updated Business Mailing Address August 03, 2015

Registered at 2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 436047101

👤

Provider Name / Credentials Updated August 03, 2015

Recorded as RASHID KHALIL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2015

Anesthesiology (License #35096817 in OH)

🟢

Initial NPI Registration & Enumeration August 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003000142

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2007

Last Update: April 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Jefferson Ave, 4th Floor

Toledo, OH 436047101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.