NPIMap

Individual provider Active NPI

Kathryn B Rodeman

  • Endocrinology, Diabetes & Metabolism Physician
  • Toledo, OH
National Provider Identifier
1255726766
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301116963 Issued in MI
Practice address
2100 W Central Ave Ste 100
Toledo, OH 43606-3817
Phone
(419) 537-5111
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.025989 OH
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 4301116963 MI Primary

Addresses

Primary practice location

2100 W Central Ave Ste 100
Toledo, OH 43606-3817

Mailing address

2100 W Central Ave Ste 100
Toledo, OH 43606-3817
Phone (419) 537-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krodeman244229@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811001590 OH Practitioner - Internal Medicine 7517269616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Toledo Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.025989OHMDInternal Medicine Physician
4301116963MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
The Toledo Hospital Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Mar 1, 2022 Accepting new patients
The Toledo Hospital CurrentSince Mar 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients
Promedica Multi Specialty Physicians Single Specialty Past Accepting new patients

Locations

1620 Brigham Dr
Ste 230
Perrysburg, OH 43551
Phone (567) 585-2030

2100 W Central Ave
#S100
Toledo, OH 43606
Phone (419) 291-1940

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

2100 W Central Ave
Ste 100
Toledo, OH 43606
Phone (419) 537-5111

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

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

Interoperability endpoints

  • Direct secure messaging: krodeman244229@direct.promedica.org

Organizations & group practices 6

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1255726766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063817",
            "telephone_number": "419-537-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063817",
            "telephone_number": "419-537-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEMAN",
        "first_name": "KATHRYN",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2023-11-03",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.025989",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301116963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krodeman244229@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

Verify at the official NPI Registry.