DR. CUNEYD A TOLEK M.D.
NPI 1174514590
Family Medicine in Sylvania, OH
About Dr. Cuneyd A Tolek M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CUNEYD A TOLEK M.D. (NPI 1174514590) is an individual family medicine provider in Sylvania, Ohio, licensed in Ohio (35048043T) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Cuneyd A Tolek M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Cuneyd Tolek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 1,072 clinicians in this Medicare group
Troy, OH 45373
- Reassigned Medicare billing, Ohio enrollment
- 405 clinicians in this Medicare group
Middletown, OH 45005
- Reassigned Medicare billing, Ohio enrollment
- 263 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Promedica Toledo Hospital
Acute Care Hospitals · Toledo, OHBay Park Community Hospital
Acute Care Hospitals · Oregon, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYLVANIA, OH 43560
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cuneyd Tolek's NPI number?
The NPI number for Cuneyd Tolek is 1174514590. It was assigned to this individual provider in the NPPES registry on November 3, 2005.
Where is Cuneyd Tolek located?
Cuneyd Tolek practices at 5700 Monroe St #204, Sylvania, OH 43560. The listed phone number is (567) 585-0090.
What is Cuneyd Tolek's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cuneyd Tolek enrolled in Medicare?
Yes. Cuneyd Tolek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Cuneyd Tolek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cuneyd Tolek reassigns Medicare benefits to 3 organizations: Promedica Central Physicians (Toledo, OH), Upper Valley Professional Corporation (Troy, OH) and Hisey Physician Services, LLC (Middletown, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cuneyd Tolek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cuneyd Tolek accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 2 other insurers list Cuneyd Tolek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Cuneyd Tolek affiliated with any hospitals?
According to CMS data, Cuneyd Tolek is affiliated with Promedica Toledo Hospital and Bay Park Community Hospital.
When was this NPI record last updated?
The NPPES record for Cuneyd Tolek was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Cuneyd A Tolek, M.D. · NPI 1174514590
Family Medicine physician in Sylvania, Ohio. Individual provider, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1174514590 (Entity type: Individual)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35048043T (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5700 MONROE ST, #204, Sylvania, OH 43560-2767
- **Phone:** (567) 585-0090 · **Fax:** (567) 585-0093
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Promedica Central Physicians (NPI 1043270150, Toledo, OH); Upper Valley Professional Corporation (NPI 1407872518, Troy, OH); Hisey Physician Services, LLC (NPI 1073380614, Middletown, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 1981
## Record status
- **NPPES last updated:** November 3, 2023
- **Other identifiers:** Medicaid 0496851 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1174514590) · Data from the CMS NPPES public registry.