Individual provider Active NPI

John B Stengle, M.D.

  • Surgery Physician
  • Sylvania, OH
National Provider Identifier
1619970555
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35068094S Issued in OH
Practice address
5800 Monroe St
BLDG G
Sylvania, OH 43560-2263
Phone
(419) 885-2525
Fax
(419) 885-3253
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35068094S OH Primary

Addresses

Primary practice location

5800 Monroe St
BLDG G
Sylvania, OH 43560-2263

Mailing address

5800 Monroe St
BLDG G
Sylvania, OH 43560-2263
Phone (419) 885-2525

Other identifiers 2

IdentifierTypeStateIssuer
0190234MedicaidOH
104389763OtherMIMICHIGAN MEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstengle13574@epicdirect.promedica.org

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
I20060503000864 OH Practitioner - General Surgery 8426961368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Suite 450
Toledo, OH 43606-5102
Phone (419) 291-2003

2130 W Central Ave
Toledo, OH 43606-3834
Phone (419) 291-4590

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

2901 N Reynolds Rd
Toledo, OH 43606
Phone (419) 578-7700

5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1444

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)23
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068094SOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Surgery CurrentSince Jan 1, 2015 Accepting new patients
Promedica Central Physicians CurrentSince Jan 1, 2015 Accepting new patients
The Toledo Hospital CurrentSince Nov 4, 2013 Accepting new patients
The Toledo Hospital CurrentSince Nov 4, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5700 Monroe St
Unit 308
Sylvania, OH 43560
Phone (419) 291-7555

5700 Monroe St
Unit 106
Sylvania, OH 43560
Phone (419) 885-2525

5308 Harroun Rd
Ste 160
Sylvania, OH 43560
Phone (419) 824-5668

5800 Monroe St
Bldg G
Sylvania, OH 43560
Phone (419) 824-6350

2109 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-5150

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

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

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

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

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

Interoperability endpoints

  • Direct secure messaging: jstengle13574@direct.promedica.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1619970555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST",
            "address_2": "BLDG G",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602263",
            "telephone_number": "419-885-2525",
            "fax_number": "419-885-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST",
            "address_2": "BLDG G",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602263",
            "telephone_number": "419-885-2525",
            "fax_number": "419-885-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGLE",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35068094S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190234",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN MEDICAID",
            "identifier": "104389763",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstengle13574@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 Sylvania, OH

Sources for this page

Verify at the official NPI Registry.