Individual provider Active NPI

John Gregory Rosenthal, M.D.

Retina Specialist (Ophthalmology) Physician
Maumee, OH

National Provider Identifier

1710959549

Registry record updated Mar 25, 2020

On this page

Key facts
NPPES NPI Registry
Medicare participation
Care Compare profile
National Provider Directory
Organizations & group practices3
NPI Registry JSON
Other providers in Maumee, OH
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License: 35-058361 Issued in OH
Practice address: 5757 Monclova Rd Ste 11
Maumee, OH 43537-1863
Phone: (419) 873-6800
Fax: (419) 873-6804
NPI assigned: Feb 6, 2006
Last updated: Mar 25, 2020By the provider in NPPES
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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
Ophthalmology Physician	207W00000X	35058361R	OH
Retina Specialist (Ophthalmology) Physician	207WX0107X	35-058361	OH	Primary

Addresses

Primary practice location

5757 Monclova Rd Ste 11
Maumee, OH 43537-1863

Mailing address

5757 Monclova Rd Ste 11
Maumee, OH 43537-1863
Phone (419) 873-6800

Other practice location 1

28370 Kensington Ln
Suite A
Perrysburg, OH 43551-4163
Phone (419) 873-6800

Other identifiers 12

Identifier	Type	State	Issuer
602258	Other	OH	FAMILY HEALTH PLAN
P62103	Other	OH	BLUE CARE
000000121699	Other	OH	ANTHEM
00642	Other	OH	PARAMOUNT
0749300	Medicaid	OH
1183130001	Other	OH	ADMINASTAR
4110735	Medicaid	MI
4121872	Other	OH	AETNA
311550308019	Other	OH	CIGNA
OC06130	Other	OH	NATIONWIDE HEALTH PLANS
024591	Other	OH	ONE HEALTH PLAN
0800785	Other	OH	UNITED HEALTHCARE

Electronic endpoints 2

Type	Endpoint	Use	Affiliation
Direct Messaging Address	grosenthal@justretina.com	Direct
CONNECT URL	grosenthal@justretina.com	Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: No
Medical equipment: Yes
Home health: No
Power mobility devices: Yes
Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Enrollment ID	State	Provider type	PAC ID	Details
I20041207000051	OH	Practitioner - Ophthalmology	6507822079

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
35058361R	OH	MD	Ophthalmology Physician
35-058361	OH	MD	Retina Specialist (Ophthalmology) Physician

Practice roles

Organization	Specialty	Status	New patients
Lima Memorial Joint Operating Company		Past	Accepting new patients
Ohio Vision of Toledo Inc		Past	Accepting new patients

Organizations & group practices 3

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.

Alliance Retina
- Retina Specialist (Ophthalmology) Physician
- Maumee, OH
- NPI 1669811774
Authorized official Same address or phone
Lima Memorial Joint Operating Company

dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPD (past)
Ohio Vision of Toledo Inc

dba Optivue
- Specialist
- Oregon, OH
- NPI 1528096203
NPD (past)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1710959549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD STE 11",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-873-6800",
            "fax_number": "419-873-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD STE 11",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-873-6800",
            "fax_number": "419-873-6804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28370 Kensington Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435514163",
            "country_code": "US",
            "telephone_number": "419-873-6800",
            "fax_number": "419-873-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35058361R",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35-058361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PLAN",
            "identifier": "602258",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "P62103",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000121699",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "00642",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0749300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR",
            "identifier": "1183130001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110735",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4121872",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "311550308019",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE HEALTH PLANS",
            "identifier": "OC06130",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "024591",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0800785",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grosenthal@justretina.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5757 Monclova Rd Ste 11",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435371863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "grosenthal@justretina.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5757 Monclova Rd Ste 11",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435371863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.

Verify at the official NPI Registry.