Individual provider Active NPI

Kate Marie Gates, DO

  • Vascular Surgery Physician
  • Toledo, OH
National Provider Identifier
1225452956
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34.014126 Issued in OH
Practice address
2109 Hughes Dr Ste 450
Toledo, OH 43606-5102
Phone
(419) 291-2003
Fax
(419) 479-6977
NPI assigned
Feb 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 5101026372 MI
Vascular Surgery Physician 2086S0129X 34.014126 OH Primary

Addresses

Primary practice location

2109 Hughes Dr Ste 450
Toledo, OH 43606-5102

Mailing address

100 Madison Ave
Toledo, OH 43604-1516

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-6596

Other names 1

  • Kate Marie Clendenen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kclendenen22696@epicdirect.promedica.org

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210727004158 OH Practitioner - Vascular SurgeryPractitioner - General Surgery 2466751904 Reassigns benefits to 1 organization
I20210816003148 MI Practitioner - Vascular SurgeryPractitioner - General Surgery 2466751904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal15
Leg revascularization (restoring blood flow)1-10
Removal of tissue57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026372MIMDVascular Surgery Physician
34.014126OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Multi Specialty Physicians Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Toledo Hospital 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
#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

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

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

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

2109 Hughes Dr
#450
Toledo, OH 43606

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Interoperability endpoints

  • Direct secure messaging: kgates87366@direct.bsmhealth.org
  • Direct secure messaging: kclendenan379212@direct.hfhs.org
  • Direct secure messaging: kgates22696@direct.promedica.org

Organizations & group practices 3

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": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1225452956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041516"
        },
        {
            "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",
            "fax_number": "419-479-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-6596",
            "fax_number": "419-251-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "KATE",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101026372",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34.014126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kclendenen22696@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": [
        {
            "first_name": "KATE",
            "last_name": "CLENDENEN",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.