Active NPI
Michael Todd Retholtz, D.O.
- Hospitalist Physician
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 34008582
- Practice address
- 5901 Monclova Rd
Maumee, OH 43537-1841 - Phone
- (419) 887-6754
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34-008582 | OH | |
| Hospitalist Physician | 208M00000X | 34008582 | OH | Primary |
Addresses
Primary practice location
5901 Monclova Rd
Maumee, OH 43537-1841
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2639050 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Ohio University, College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8019
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-008582 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Hospitalist | Current | Accepting new patients |
| Mercy Health - St Vincent Medical Center LLC | Past | Accepting new patients |
Locations
1103 Village Square Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 872-3213
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
2213 Cherry St
Ste 200
Toledo, OH 43608
Phone (419) 251-4283
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
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.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
Hospitalist
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
dba Harness Health Pharmacy
- General Acute Care Hospital
- Tiffin, OH
- NPI 1316994734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912941246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234231",
"telephone_number": "419-479-5327",
"fax_number": "419-479-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 MONCLOVA RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371841",
"telephone_number": "419-887-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETHOLTZ",
"first_name": "MICHAEL",
"middle_name": "TODD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34-008582",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "34008582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2639050",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
- Meranda Resendez, LPN
- Residential Home Health of NW Oh, LLC (Residential Home Health)
- Residential Hospice, LLC (Residential Palliative Care)
- Residential Hospice, LLC (Residential Hospice)
- Resurgence Residential Solutions LLC
- Blythe Ashley Retzlaff, PHARMD
- Jacob Reyes, PHARMD
- Richard a. Paat, M.D.,LLC
- Heath Ridenbaugh, LPCC
- Ridgewood Facility Operations, LLC (Ridgewood Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.