Active NPI
Johnathon Rerucha, MD, MPH
- Emergency Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.154400
- Practice address
- 2142 N Cove Blvd
Toledo, OH 43606-3895 - Phone
- (419) 291-4101
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301518283 | MI | |
| Emergency Medicine Physician | 207P00000X | 35.154400 | OH | Primary |
Addresses
Primary practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Mailing address
5923 Renaissance PL
Toledo, OH 43623-4709
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302000514 | OH | Practitioner - Emergency Medicine | 4183106040 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physicians of Northwest Ohio, Inc.
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400
Hospital & facility affiliations
- Promedica Toledo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Physicians of Northwest Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Northwest Ohio Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
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.
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1043274418
Emergency Medicine, OH
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
Emergency Medicine, OH
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": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1639864283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5923 RENAISSANCE PL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-291-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RERUCHA",
"first_name": "JOHNATHON",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301518283",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.154400",
"primary": true
}
],
"identifiers": [],
"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 22, 2026; 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.