Individual provider Active NPI

David M Podboy, M.D.

  • Obstetrics & Gynecology Physician
  • Defiance, OH
National Provider Identifier
1790075414
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35126890 Issued in OH
Practice address
1250 Ralston Ave Ste 205
Defiance, OH 43512-5310
Phone
(419) 782-5774
Fax
(419) 782-6103
NPI assigned
Apr 14, 2011
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
Obstetrics & Gynecology Physician 207V00000X 35126890 OH Primary

Addresses

Primary practice location

1250 Ralston Ave Ste 205
Defiance, OH 43512-5310

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-1531

Other identifiers 1

IdentifierTypeStateIssuer
126179MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpodboy13379@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151026001523 OH Practitioner - Obstetrics/Gynecology 3072822436 Reassigns benefits to 2 organizations
I20210415000868 MI Practitioner - Obstetrics/Gynecology 3072822436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Toledo College of Medicine, 2011
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)

1200 Ralston Ave
Defiance, OH 43512-1396
Phone (419) 783-6944

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

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-4401

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Oct 1, 2015 Accepting new patients
Promedica Central Physicians Obstetrics & Gynecology CurrentSince Oct 1, 2015 Accepting new patients
Memorial Professional Services LTD Obstetrics & Gynecology CurrentSince Dec 1, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Defiance Hospital Inc. Past Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1076 W McPherson Hwy
Ste 1
Clyde, OH 43410

1250 Ralston Ave
Ste 205
Defiance, OH 43512
Phone (419) 782-5774

1250 Ralston Ave
Defiance, OH 43512
Phone (419) 785-3281

455 W 4th St
Ste 20
Fostoria, OH 44830

1922 Glen Springs Dr
Fremont, OH 43420
Phone (419) 333-2798

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

1854 E Perry St
Port Clinton, OH 43452
Phone (419) 690-8880

513 Superior St
Rossford, OH 43460
Phone (419) 666-5202

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

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

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1790075414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE STE 205",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125310",
            "telephone_number": "419-782-5774",
            "fax_number": "419-782-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODBOY",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2023-11-03",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35126890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126179",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpodboy13379@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 Defiance, OH

Sources for this page

Verify at the official NPI Registry.