Individual provider Active NPI

Michael Walkovich, DPM

  • Podiatrist
  • Toledo, OH
National Provider Identifier
1538162136
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003018 Issued in OH
Practice address
3055 W Sylvania Ave
Toledo, OH 43613-4135
Phone
(419) 473-0125
Fax
(419) 473-1230
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003018 OH Primary

Addresses

Primary practice location

3055 W Sylvania Ave
Toledo, OH 43613-4135

Mailing address

3055 W Sylvania Ave
Toledo, OH 43613-4135
Phone (419) 473-0125

Other identifiers 1

IdentifierTypeStateIssuer
2019676MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040302000126 OH Practitioner - Podiatry 8820985278 Reassigns benefits to 1 organization
I20260622003804 FL Practitioner - Podiatry 8820985278

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent L Rubin and Associates IncGroup PAC ID 8820092042, 4 clinicians

Practice addresses (Care Compare)

3055 W Sylvania Ave
Toledo, OH 43613-4135
Phone (419) 473-0125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue29
Removal of skin lesions44
Removal of nail tissue490
Removal or shaving of skin growth84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003018OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent L. Rubin & Associates Inc Podiatrist CurrentSince Jul 1, 1997 Accepting new patients
Brent L. Rubin & Associates Inc Podiatrist CurrentSince Aug 11, 2019 Accepting new patients

Locations

755 W South Boundary St
Perrysburg, OH 43551
Phone (419) 874-2300

3055 W Sylvania Ave
Toledo, OH 43613
Phone (419) 471-1172

5122 Heatherdowns Blvd
Ste 102
Toledo, OH 43614
Phone (419) 385-0566

Interoperability endpoints

  • Direct secure messaging: mwalkovich63160@direct.bsmhealth.org

Organizations & group practices 2

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": "1564963200000",
    "number": "1538162136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134135",
            "telephone_number": "419-473-0125",
            "fax_number": "419-473-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134135",
            "telephone_number": "419-473-0125",
            "fax_number": "419-473-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKOVICH",
        "first_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019676",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.