Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KEVIN JAY TIWARI M.D.
NPI 1285029769
Pain Medicine - Pain Medicine in Toledo, OH

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
4235 SECOR RD, TOLEDO, OH 43623(419) 479-5418(419) 479-5420 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Sep 10, 2025, May 10, 2023 and 1 more (4 updates tracked since 2022).

About Dr. Kevin Jay Tiwari M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN JAY TIWARI M.D. (NPI 1285029769) is an individual pain medicine provider in Toledo, Ohio, licensed in Ohio (35.135300) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285029769
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. KEVIN JAY TIWARICredential: M.D.
Location Address4235 SECOR RDToledo, OH 43623-4299
Mailing Address4235 Secor RdToledo, OH 43623-4299 · (419) 479-5418 · Fax (419) 479-5420
Fax(419) 479-5420
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1285029769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in OH · 35.135300
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 35.135300 (OH)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 35.135300 (OH)
4235 SECOR RD, Toledo, OH 43623

Other Identifiers 1

Medicaid0408312OH

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. Kevin Jay Tiwari 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.

PECOS PAC ID446554620
PECOS Enrollment IDI20200630003112
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Tiwari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
4235 SECOR RD, TOLEDO CLINIC INC
Toledo, OH 43623
  • Reassigned Medicare billing, Ohio enrollment
  • 219 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 18

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
855 services68 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
490 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services35 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
44 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
4235 SECOR RD, PROMEDICA URGENT CARE
TOLEDO, OH 43623
Internal Medicine (Gastroenterology)
4235 SECOR RD
TOLEDO, OH 43623
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Student in an Organized Health Care Education/Training Program
4235 SECOR RD
TOLEDO, OH 43623
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Physician Assistant (Medical)
4235 SECOR RD
TOLEDO, OH 43623
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Internal Medicine (Cardiovascular Disease)
4235 SECOR RD
TOLEDO, OH 43623

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 Kevin Tiwari's NPI number?

The NPI number for Kevin Tiwari is 1285029769. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Kevin Tiwari located?

Kevin Tiwari practices at 4235 Secor Rd, Toledo, OH 43623. The listed phone number is (419) 479-5418.

What is Kevin Tiwari's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Kevin Tiwari enrolled in Medicare?

Yes. Kevin Tiwari 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 organization bills Medicare for Kevin Tiwari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Tiwari reassigns Medicare benefits to Toledo Clinic Incorporated (Toledo, OH). The 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 Kevin Tiwari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Tiwari accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Kevin Tiwari 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 Kevin Tiwari affiliated with any hospitals?

According to CMS data, Kevin Tiwari is affiliated with University Of Toledo Medical Center, Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Tiwari was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.