Active NPI
Rachel L. Novakovic, M.D.
- Surgical Critical Care Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 35071444N
- Practice address
- 2409 Cherry Street
Mob 303
Toledo, OH 43608 - Phone
- (419) 251-4674
- Fax
- (419) 251-3862
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 35071444N | OH | Primary |
Addresses
Primary practice location
2409 Cherry Street
Mob 303
Toledo, OH 43608
Mailing address
2409 Cherry Street
Mob 303
Toledo, OH 43608
Phone (419) 251-4674
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02937 | Other | PARAMOUNT | |
| 1701443 | Other | UNITED HEALTH CARE | |
| 2032875 | Medicaid | OH | |
| 2450445006 | Other | CIGNA | |
| 704774 | Other | FAMILY HEALTH PLAN | |
| 020052295 | Other | OH | RAILROAD MEDICARE |
| 2032875 | Other | BUCKEYE COMMUNITY HEALTH PLAN | |
| 000000223900 | Other | ANTHEM | |
| 26387 | Other | NATIONWIDE | |
| 5445556 | Other | AETNA | |
| 104389727 | Other | MI | MICHIGAN MEDICAID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2213 Cherry St
Suite 200
Toledo, OH 43608-2603
Phone (419) 251-4283
Hospital & facility affiliations
- Mercy St Vincent Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35071444N | OH | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Surgery | Current | Accepting new patients |
Locations
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
2213 Cherry St
Ste 200
Toledo, OH 43608
Phone (419) 251-4283
2213 Cherry St
#203
Toledo, OH 43608
Phone (419) 251-4674
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2213 Cherry St
Ste Acc
Toledo, OH 43608
Phone (419) 251-3704
2213 Cherry St
Ste 305
Toledo, OH 43608
Phone (419) 321-3512
Interoperability endpoints
- rnovakovic26949@direct.bsmhealth.org
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.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1265435820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 CHERRY STREET",
"address_2": "MOB 303",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "419-251-4674",
"fax_number": "419-251-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 CHERRY STREET",
"address_2": "MOB 303",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "419-251-4674",
"fax_number": "419-251-3862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAKOVIC",
"first_name": "RACHEL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "OH",
"license": "35071444N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "02937",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1701443",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032875",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2450445006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY HEALTH PLAN",
"identifier": "704774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020052295",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY HEALTH PLAN",
"identifier": "2032875",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000223900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "26387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5445556",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN MEDICAID",
"identifier": "104389727",
"state": "MI"
}
],
"endpoints": [],
"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 Jun 12, 2009; 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.