MARIETTA J MEDEL (MD) – Neurology Physician, NPI 1548571490

MARIETTA J MEDEL (MD) is a healthcare provider. based in Lima, Ohio. specializing in Neurology Physician. They hold the professional credentials MD. They hold a License No. 35094582 (OH). The NPI Number for MARIETTA J MEDEL (MD) is 1548571490

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MARIETTA J MEDEL (MD)
NPI
1548571490
Phone
(419) 998-4575
Address
1001 BELLEFONTAINE AVE
Enumeration Date
25 June 2010
Last Update Date
21 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
8527182740
Group Practice PAC ID
1254232184
Professional Enrollment ID
I20100825000308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MARIETTA J MEDEL (MD)

  • 1001 BELLEFONTAINE AVE

    LIMA, OH 458042800

    Phone: (419) 998-4575

    Fax: (419) 998-4586

    Type: Mailing

  • 1005 BELLEFONTAINE AVE STE 350

    LIMA, OH 458042885

    Phone: (419) 998-8200

    Fax: (419) 998-8203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100825000308INeurologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254232184View full group profile
NameSpecialtyState
Radiation OncologyOH
-OH
Family PracticeOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Internal MedicineOH
Colorectal Surgery (Proctology)OH
Physician AssistantOH

Reviews

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Frequently asked questions

What identifier follows MARIETTA J MEDEL (MD) across health systems?
The NPI 1548571490 uniquely identifies MARIETTA J MEDEL (MD) in U.S. healthcare data.
Should I treat MARIETTA J MEDEL (MD) as an active provider?
Patients and plans typically see MARIETTA J MEDEL (MD) as active in the national extract.
What services align with MARIETTA J MEDEL (MD)'s listing?
MARIETTA J MEDEL (MD)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MARIETTA J MEDEL (MD)?
MARIETTA J MEDEL (MD) shows a connection to Lima, Ohio in registry-derived data.
Can I export MARIETTA J MEDEL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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