DR. DAVID J KOUBA MD
NPI 1073561866
Dermatology in Wauseon, OH

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
1090 N SHOOP AVE, WAUSEON, OH 43567(419) 330-5200 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2025, Apr 9, 2025, Mar 14, 2025 (3 updates tracked since 2025).

About Dr. David J Kouba Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID J KOUBA MD (NPI 1073561866) is an individual dermatology provider in Wauseon, Ohio, licensed in Ohio (35089766) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1073561866
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. DAVID J KOUBACredential: MD
Location Address1090 N SHOOP AVEWauseon, OH 43567-1821
Mailing Address4235 Secor RdToledo, OH 43623
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
NPI 1073561866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OH · 35089766
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1090 N SHOOP AVE, Wauseon, OH 43567

Secondary Practice Locations 8

Location 17301 Secor RdLambertville, MI 48144-9737 · Phone (419) 479-5795
Location 2341 Trenton AveFindlay, OH 45840-3745 · Phone (567) 250-8212
Location 31100 W Main StWoodville, OH 43469-9723 · Phone (419) 724-5820
Location 41136 Country Club Rd Unit CAdrian, MI 49221-8209 · Phone (517) 366-5110
Location 5675 Cooper StMonroe, MI 48161-1676 · Phone (419) 479-5791 · Fax (734) 568-6352
Location 61070 N Shoop AveWauseon, OH 43567-1821 · Phone (419) 330-5200
Location 7106 S Lafayette StSouth Lyon, MI 48178-1404 · Phone (947) 348-1176
Location 8417 4th StDefiance, OH 43512-2605 · Phone (419) 785-4660

Other Identifiers 1

Medicaid2809876OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. David J Kouba Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173512233
PECOS Enrollment IDI20070823000469, I20080303000092
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 43

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,040 services2,258 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
1,172 services812 patients
Therapy procedure using ultraviolet radiation with tar or petroleum jelly application 96910
This therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.
1,142 services50 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
1,089 services616 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
483 services454 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
450 services391 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43567 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1090 N SHOOP AVE
WAUSEON, OH 43567
Dermatology
1090 N SHOOP AVE
WAUSEON, OH 43567
Dermatology
1090 N SHOOP AVE
WAUSEON, OH 43567

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 David Kouba's NPI number?

The NPI number for David Kouba is 1073561866. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is David Kouba located?

David Kouba practices at 1090 N Shoop Ave, Wauseon, OH 43567. The listed phone number is (419) 330-5200.

What is David Kouba's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is David Kouba enrolled in Medicare?

Yes. David Kouba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Kouba 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 5 other insurers list David Kouba 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.

Is David Kouba affiliated with any hospitals?

According to CMS data, David Kouba is affiliated with Promedica Toledo Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for David Kouba was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.