Individual provider Active NPI

Mark Geoffrey Loomus, M.D

  • Neurology Physician
  • Perrysburg, OH
National Provider Identifier
1821198599
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35059646 Issued in OH
Practice address
6175 Levis Commons Blvd # 104
Perrysburg, OH 43551-7269
Phone
(419) 872-7246
Fax
(419) 872-3754
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35059646 OH Primary
Neurology Physician 2084N0400X 4301049041 MI

Addresses

Primary practice location

6175 Levis Commons Blvd # 104
Perrysburg, OH 43551-7269

Mailing address

6175 Levis Commons Blvd # 104
Perrysburg, OH 43551-7269
Phone (419) 872-7246

Other identifiers 1

IdentifierTypeStateIssuer
0789928MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mloomus7051@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
I20100813000062 OH Practitioner - NeurologyPractitioner - Internal Medicine 4082748033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

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

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

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

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

6175 Levis Commons Blvd
Suite 104
Perrysburg, OH 43551-7269
Phone (419) 872-7246

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049041MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Multi Specialty Physicians Neurology CurrentSince Jan 1, 2026 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2010 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2010 Accepting new patients
Luther Home of Mercy Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1601 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 794-7700

6175 Levis Commons Blvd
Ste 104
Perrysburg, OH 43551
Phone (567) 585-0725

6175 Levis Commons Blvd
#104
Perrysburg, OH 43551
Phone (419) 872-7246

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

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

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

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

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 4

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1821198599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 LEVIS COMMONS BLVD # 104",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517269",
            "telephone_number": "419-872-7246",
            "fax_number": "419-872-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 LEVIS COMMONS BLVD # 104",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517269",
            "telephone_number": "419-872-7246",
            "fax_number": "419-872-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMUS",
        "first_name": "MARK",
        "middle_name": "GEOFFREY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35059646",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301049041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0789928",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mloomus7051@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 Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.