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SHAIKH FAWWAD
NPI 1285180943
Internal Medicine in Toledo, OH

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
3000 ARLINGTON AVE, TOLEDO, OH 43614(419) 383-4000(419) 383-3058 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2026, May 22, 2025, Aug 7, 2020 and 1 more (4 updates tracked since 2016).

About Shaikh Fawwad NPPES

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

SHAIKH FAWWAD (NPI 1285180943) is an individual internal medicine provider in Toledo, Ohio, licensed in Ohio (35.138596) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285180943
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAIKH FAWWAD
Location Address3000 ARLINGTON AVEToledo, OH 43614-2595
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595
Phone(419) 383-4000
Fax(419) 383-3058
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 31, 2016
Last NPPES UpdateJanuary 22, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1285180943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.138596
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35.138596 (OH)
3000 ARLINGTON AVE, Toledo, OH 43614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaikh Fawwad 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 ID7315278207
PECOS Enrollment IDI20200901001029
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.

Areas of Expertise CMS Part B claims 7

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.

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.
130 services73 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services40 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.
38 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Henry County Hospital, Inc

Critical Access Hospitals · Napoleon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361309
Location1600 East Riverview AvenueNapoleon, OH 43545 · Henry County
Emergency services

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers26 claims72 services$6.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers17 claims17 services$104.51 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers12 claims12 services$25.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SEAN O. MCKEE PHARMD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE, GRADUATE MEDICAL EDUCATION MS 1050
TOLEDO, OH 43614
Lucas County (419) 383-4244
DR. SIYUN ZHANG PHARMD
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
TAMARA AVEZBADALOV MD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3752
DR. MARTIN JOSEPH OHLINGER PHARMD
Pharmacist
3000 ARLINGTON AVE, UT MEDICAL CENTER
TOLEDO, OH 43614
Lucas County (419) 383-3898
DR. BURTON LEE ROGERS JR. ED.D, MBA, ATC, LPTA
Specialist/Technologist (Athletic Trainer)
3000 ARLINGTON AVE, MORSE CENTER DOWLING HALL
TOLEDO, OH 43614
Lucas County (419) 383-4000
JEANETTE WOODRUFF R.PH.
Pharmacist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
DR. BRIAN ALLAN CUSTER D.M.D.
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3504
MRS. JULIE ANN ROBBINS PA-C
Physician Assistant
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3888

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 Shaikh Fawwad's NPI number?

The NPI number for Shaikh Fawwad is 1285180943. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Shaikh Fawwad located?

Shaikh Fawwad practices at 3000 Arlington Ave, Toledo, OH 43614. The listed phone number is (419) 383-4000.

What is Shaikh Fawwad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shaikh Fawwad enrolled in Medicare?

Yes. Shaikh Fawwad 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.

What insurance does Shaikh Fawwad accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Shaikh Fawwad 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 Shaikh Fawwad affiliated with any hospitals?

According to CMS data, Shaikh Fawwad is affiliated with University Of Toledo Medical Center, Promedica Toledo Hospital, Bellevue Hospital, Henry County Hospital, Inc and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Shaikh Fawwad was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.