Individual provider Active NPI

Matthew L Rennels, DO

  • Sports Medicine (Family Medicine) Physician
  • Toledo, OH
National Provider Identifier
1043571037
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
34.011259 Issued in OH
Practice address
2865 N Reynolds Rd Ste 170
Toledo, OH 43615-2076
Phone
(419) 578-7590
Fax
(419) 537-5605
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-011259 OH
Sports Medicine (Family Medicine) Physician 207QS0010X 34.011259 OH Primary

Addresses

Primary practice location

2865 N Reynolds Rd Ste 170
Toledo, OH 43615-2076

Mailing address

2865 N Reynolds Rd Ste 170
Toledo, OH 43615-2076
Phone (419) 578-7590

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrennels29591@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709002202 OH Practitioner - Family Practice 1557509783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2865 N Reynolds Rd
Suite 160
Toledo, OH 43615-2076
Phone (419) 578-4260

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-011259OHMDFamily Medicine Physician
34.011259OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2016 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
The Toledo Hospital Current Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
The Toledo Hospital Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
The Toledo Hospital CurrentSince Jul 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2865 N Reynolds Rd
Ste 140
Toledo, OH 43615
Phone (419) 578-7510

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2865 N Reynolds Rd
Toledo, OH 43615
Phone (419) 578-2700

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2865 N Reynolds Rd
Ste 130
Toledo, OH 43615
Phone (419) 578-7036

2865 N Reynolds Rd
Ste 170
Toledo, OH 43615
Phone (419) 578-7036

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2865 N Reynolds Rd
Ste 160
Toledo, OH 43615
Phone (419) 578-4260

Interoperability endpoints

  • Direct secure messaging: mrennels29591@direct.promedica.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1043571037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD STE 170",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152076",
            "telephone_number": "419-578-7590",
            "fax_number": "419-537-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD STE 170",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152076",
            "telephone_number": "419-578-7590",
            "fax_number": "419-537-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNELS",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-011259",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.011259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrennels29591@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "2865 N Reynolds Rd Ste 170",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436152076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.