Individual provider Active NPI

Ruby Nucklos, M.D.

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1194710772
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35051009 Issued in OH
Practice address
2100 W Central Ave FL 2
Toledo, OH 43606-3800
Phone
(567) 420-1600
Fax
(567) 420-1635
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35051009 OH Primary

Addresses

Primary practice location

2100 W Central Ave FL 2
Toledo, OH 43606-3800

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other identifiers 1

IdentifierTypeStateIssuer
0567453MedicaidOH

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
I20040218001168 OH Practitioner - Internal Medicine 6103711064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

3355 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5614

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051009OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Internal Medicine CurrentSince Sep 1, 1999 Accepting new patients
Promedica Central Physicians Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Promedica Central Physicians CurrentSince Jul 1, 2016 Accepting new patients

Locations

L4189
Columbus, OH 43260

2100 W Central Ave
Ste 200
Toledo, OH 43606
Phone (419) 291-2051

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

3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000

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

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

2100 W Central Ave
Fl 2
Toledo, OH 43606
Phone (567) 420-1600

Interoperability endpoints

  • Direct secure messaging: rnucklos25844@direct.utoledo.edu

Organizations & group practices 4

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 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1194710772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE FL 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063800",
            "telephone_number": "567-420-1600",
            "fax_number": "567-420-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKLOS",
        "first_name": "RUBY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35051009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0567453",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.