PROMEDICA CENTRAL PHYSICIANS
NPI 1043270150
Family Medicine in Toledo, OH
About Promedica Central Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMEDICA CENTRAL PHYSICIANS (NPI 1043270150) is a healthcare organization registered as a family medicine in Toledo, Ohio and active in the NPI registry since March 2006. The organization lists Tanya Wines, Director, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 13
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Promedica Central Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
1,118Medicare enrollment records show 1,118 clinicians reassign Medicare billing to Promedica Central Physicians, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 682 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 1,118Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Promedica Central Physicians's NPI number?
The NPI number for Promedica Central Physicians is 1043270150. It was assigned to this organization in the NPPES registry on March 23, 2006.
Where is Promedica Central Physicians located?
Promedica Central Physicians is located at 100 Madison Ave Msc-S38805, Toledo, OH 43604. The listed phone number is (567) 585-1964.
What is Promedica Central Physicians's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Promedica Central Physicians enrolled in Medicare?
Yes. Promedica Central Physicians is registered in the Medicare PECOS enrollment system.
When is Promedica Central Physicians's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Promedica Central Physicians holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Promedica Central Physicians?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,118 clinicians in 47 Medicare specialties reassign their Medicare billing to Promedica Central Physicians. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (307), Nurse Practitioner (277) and Family Practice (73). Of these, 3 practice at this address and 682 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Promedica Central Physicians accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 7 other insurers list Promedica Central Physicians as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Promedica Central Physicians was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.