David J Kouba, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35089766 Issued in OH

Practice address

1090 N Shoop Ave
Wauseon, OH 43567-1821

Phone

(419) 330-5200

NPI assigned

May 4, 2006

Last updated

Dec 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

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 2

Specialty

Dermatology

Education

Jefferson Medical College of Thomas Jefferson University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toledo Clinic PLLCGroup PAC ID 8426585142, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
• Fulton County Health Center Hospital, Wauseon, OH, CCN 361333

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Toledo Clinic PLLC

  • Dermatology Physician
  • Wauseon, OH
  • NPI 1326538703

  MI

  Medicare reassignment Care Compare group NPD
• Toledo Clinic Incorporated

  • Surgery Physician
  • Toledo, OH
  • NPI 1144217894

  Dermatology

  Medicare reassignment NPD
• Toledo Clinic Incorporated

  • Internal Medicine Physician
  • Monroe, MI
  • NPI 1669423455
  Medicare reassignment NPD
• Toledo Clinic Incorporated

  • Clinical Medical Laboratory
  • Toledo, OH
  • NPI 1114079167
  NPD
• Toledo Clinic Incorporated

  • Clinical Medical Laboratory
  • Toledo, OH
  • NPI 1659631554
  NPD
• Toledo Clinic Incorporated

  • Podiatrist
  • Sylvania, OH
  • NPI 1952097073
  NPD
• Toledo Clinic PLLC

  • Dermatology Physician
  • Lambertville, MI
  • NPI 1700842796
  NPD
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)

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

• Fulton County Health Center

  • Critical Access Hospital
  • Wauseon, OH
  • NPI 1548279714
  Care Compare affiliation
• Ohioans Home Healthcare, Inc

  • Home Health Agency
  • Perrysburg, OH
  • NPI 1093836546
  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  dba ProMedica Transportation Network

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1073561866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671821",
            "telephone_number": "419-330-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "MI",
            "postal_code": "481449737",
            "country_code": "US",
            "telephone_number": "419-479-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Trenton Ave",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458403745",
            "country_code": "US",
            "telephone_number": "567-250-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Main St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "OH",
            "postal_code": "434699723",
            "country_code": "US",
            "telephone_number": "419-724-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Country Club Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492218209",
            "country_code": "US",
            "telephone_number": "517-366-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Cooper St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481611676",
            "country_code": "US",
            "telephone_number": "419-479-5791",
            "fax_number": "734-568-6352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 S Lafayette St",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481781404",
            "country_code": "US",
            "telephone_number": "947-348-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 4th St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122605",
            "country_code": "US",
            "telephone_number": "419-785-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUBA",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35089766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2809876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Khandaker, M.S.N., R.N., C.N.P.
• Monica Kiefer, D.C.
• Oni King
• Brooke J Kleeberger, LISW
• Kenneth H Kling, O.D.
• Christine Mary Kuhlman, C.N.P.
• Danielle Lambert
• Charles M Lash, MD
• Julie Ann Leatherman, LISW
• Adam G Levin

• Dermatology Physician in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.