Active NPI
Robert E Wenzke, MD
- Internal Medicine Physician
- Toledo, OH
National Provider Identifier
1912905951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35041430
- Practice address
- 1000 Regency Court
Suite 102
Toledo, OH 43623 - Phone
- (419) 517-8000
- Fax
- (419) 517-8003
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35041430 | OH | Primary |
Addresses
Primary practice location
1000 Regency Court
Suite 102
Toledo, OH 43623
Mailing address
1000 Regency Court
Suite 102
Toledo, OH 43623
Phone (419) 517-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000141238 | Other | OH | ANTHEM |
| 0633302 | Other | OH | AETNA |
| 110176068 | Other | OH | RRMC |
| 0381215 | Medicaid | OH | |
| 04-03005 | Other | OH | UHC |
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 |
|---|---|---|---|---|
| I20100426000350 | OH | Practitioner - Internal Medicine | 0345377255 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35041430 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1912905951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REGENCY COURT",
"address_2": "SUITE 102",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-517-8000",
"fax_number": "419-517-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 REGENCY COURT",
"address_2": "SUITE 102",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-517-8000",
"fax_number": "419-517-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZKE",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35041430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000141238",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0633302",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "110176068",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0381215",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "04-03005",
"state": "OH"
}
],
"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 Sep 15, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.