Individual provider Active NPI

Rachel L. Novakovic, M.D.

  • Surgical Critical Care Physician
  • Toledo, OH
National Provider Identifier
1265435820
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
35071444N Issued in OH
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

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02937OtherPARAMOUNT
1701443OtherUNITED HEALTH CARE
2032875MedicaidOH
2450445006OtherCIGNA
704774OtherFAMILY HEALTH PLAN
020052295OtherOHRAILROAD MEDICARE
2032875OtherBUCKEYE COMMUNITY HEALTH PLAN
000000223900OtherANTHEM
26387OtherNATIONWIDE
5445556OtherAETNA
104389727OtherMIMICHIGAN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000953 OH Practitioner - General Surgery 9133032089 Reassigns benefits to 2 organizations

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
Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

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 Hospital, Toledo, OH, CCN 360112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071444NOHMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jan 1, 2011 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jan 1, 2011 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Surgery CurrentSince Sep 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.