Individual provider Active NPI

Douglas Rumbaugh

  • Acute Care Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1164274429
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0035967 Issued in OH
Practice address
2109 Hughes Dr Ste 450
Toledo, OH 43606-5102
Phone
(419) 291-2003
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0035967 OH Primary

Addresses

Primary practice location

2109 Hughes Dr Ste 450
Toledo, OH 43606-5102

Mailing address

27649 Coressel Rd
Defiance, OH 43512-8783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240515002735 OH Practitioner - Nurse Practitioner 9537500046 Reassigns benefits to 1 organization
I20240911001719 MI Practitioner - Nurse Practitioner 9537500046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Toledo, OH 43606-3858
Phone (419) 291-2003

777 Kimole LN
Suite 130
Adrian, MI 49221-1400
Phone (517) 265-0292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Multi Specialty Physicians CurrentSince Oct 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

777 Kimole Ln
Ste 260
Adrian, MI 49221
Phone (419) 479-2650

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

730 N Macomb St
Ste 419
Monroe, MI 48162
Phone (734) 241-3900

960 W Wooster St
Ste 207
Bowling Green, OH 43402
Phone (419) 354-3072

1250 Ralston Ave
Ste 106
Defiance, OH 43512
Phone (419) 783-6931

501 Van Buren St
Ste 103
Fostoria, OH 44830

595 Bartson Rd
Fremont, OH 43420
Phone (419) 333-0540

2751 Bay Park Dr
Ste 302
Oregon, OH 43616
Phone (419) 690-7550

5180 Chappel Dr
Ste B4
Perrysburg, OH 43551

5308 Harroun Rd
Ste 280
Sylvania, OH 43560
Phone (419) 824-1888

2109 Hughes Dr
Ste 250
Toledo, OH 43606

2109 Hughes Dr
#450
Toledo, OH 43606

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

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

725 S Shoop Ave
Ste G101
Wauseon, OH 43567

Organizations & group practices 2

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 7

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1164274429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27649 CORESSEL RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435128783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 450",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065102",
            "telephone_number": "419-291-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMBAUGH",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0035967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.