Active NPI
Geoffrey Walter Rulong, M.D.
- Pediatric Pulmonology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 35121357
- Practice address
- 2142 N Cove Blvd
Toledo, OH 43606-3895 - Phone
- (419) 291-7555
- Fax
- (419) 479-2696
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 43011112231 | MI | |
| Pediatrics Physician | 208000000X | 35.121357 | OH | |
| Pediatric Pulmonology Physician | 2080P0214X | 4301112231 | MI | |
| Pediatric Sleep Medicine Physician | 2080S0012X | 35.121357 | OH | |
| Pediatric Sleep Medicine Physician | 2080S0012X | 4301112231 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Pulmonology Physician | 2080P0214X | 35121357 | OH | Primary |
Addresses
Primary practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Mailing address
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-7555
Other practice location 1
200 E Russell Rd Unit C
Tecumseh, MI 49286-2072
Phone (517) 366-5015
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | grulong176292@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Pittsburgh School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 240-8835
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43011112231 | MI | MD | Pediatrics Physician |
| 35121357 | OH | MD | Pediatric Pulmonology Physician |
| 35.121357 | OH | MD | Pediatric Sleep Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Toledo Hospital | Pediatrics | Current | Accepting new patients |
| The Toledo Hospital | Current | Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| Promedica Multi Specialty Physicians | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients |
Locations
777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411
777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292
1500 E Medical Center Dr
Fl 6
Ann Arbor, MI 48109
Phone (734) 764-5302
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
730 N Macomb St
Ste 300
Monroe, MI 48162
Phone (734) 235-5296
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Interoperability endpoints
- grulong176292@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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Clinical Psychologist
- Toledo, OH
- NPI 1083843031
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1225349236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-291-7555",
"fax_number": "419-479-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-291-7555",
"fax_number": "419-479-2696"
}
],
"practiceLocations": [
{
"address_1": "200 E Russell Rd Unit C",
"address_purpose": "LOCATION",
"city": "Tecumseh",
"state": "MI",
"postal_code": "492862072",
"country_code": "US",
"telephone_number": "517-366-5015",
"fax_number": "419-479-2696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RULONG",
"first_name": "GEOFFREY",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "43011112231",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.121357",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MI",
"license": "4301112231",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "OH",
"license": "35.121357",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "MI",
"license": "4301112231",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "OH",
"license": "35121357",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "grulong176292@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.