Individual provider Active NPI

Adam Rettig, MD

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1851366256
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.086293 Issued in OH
Practice address
5923 Renaissance PL
Toledo, OH 43623-4709
Phone
(567) 408-2002
NPI assigned
Feb 20, 2006
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01089190A IN
Emergency Medicine Physician 207P00000X 35.086293 OH Primary

Addresses

Primary practice location

5923 Renaissance PL
Toledo, OH 43623-4709

Mailing address

4636 Terra CT
Monclova, OH 43542-9363
Phone (419) 265-0764

Other practice location 1

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 498-2020

Other identifiers 1

IdentifierTypeStateIssuer
2645838MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20060608000338 OH Practitioner - Emergency Medicine 9537171608 Reassigns benefits to 5 organizations
I20230123002612 IN Practitioner - Emergency Medicine 9537171608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Toledo HospitalGroup PAC ID 2961309638, 118 clinicians
Emergency Physicians of Northwest Ohio, Inc.Group PAC ID 3375456478, 102 clinicians

Practice addresses (Care Compare)

1075 Medical Ctr Pkwy
Maumee, OH 43537
Phone (567) 585-0800

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
74.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
83.74

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.086293OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 1, 2025 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 1, 2025 Accepting new patients
The Toledo Hospital CurrentSince Apr 1, 2023 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
The Toledo Hospital CurrentSince Apr 1, 2023 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Interventional Pain Consultants, LLC PastSince Feb 20, 2009 Accepting new patients
Lucas County Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

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

Interoperability endpoints

  • Direct secure messaging: arettig520845@direct.parkviewexchange.com

Organizations & group practices 11

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 6

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1851366256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 TERRA CT",
            "city": "MONCLOVA",
            "state": "OH",
            "postal_code": "435429363",
            "telephone_number": "419-265-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5923 RENAISSANCE PL",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234709",
            "telephone_number": "567-408-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 E Maumee St",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "IN",
            "postal_code": "467032015",
            "country_code": "US",
            "telephone_number": "260-498-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETTIG",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01089190A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.086293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2645838",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.